Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $21.07 / $100.82	Facility		$13.17	$21.07	$100.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $13.28 / $20.37	Professional		$9.89	$13.28	$20.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $37.53 / $78.04	Facility		$11.90	$37.53	$78.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $21.19 / $35.83	Professional		$11.13	$21.19	$35.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $9.36 / $13.62	Professional		$6.81	$9.36	$13.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $8,702.00 / $13,785.00	Facility		$11.92	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $11.92 / $11.92	Professional		$11.92	$11.92	$11.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $10.22 / $19.30	Professional		$6.59	$10.22	$19.30