Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $89.13	Facility		$16.60	$25.12	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $25.70	Professional		$7.94	$10.96	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.62 / $66.07	Facility		$14.13	$31.62	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $21.38	Professional		$7.24	$10.47	$21.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $12.30	Professional		$5.75	$7.24	$12.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $10,471.29 / $25,118.86	Facility		$14.45	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.00 / $12.88	Professional		$9.77	$10.00	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $14.45 / $30.20	Facility		$6.76	$14.45	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.71 / $15.85	Professional		$5.75	$8.71	$15.85