Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $36.63 / $143.78	Facility		$10.61	$36.63	$143.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.25 / $12.43	Professional		$10.19	$12.25	$12.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $9.52	Professional		$9.52	$9.52	$9.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $22.18 / $22.18	Professional		$22.18	$22.18	$22.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $30.31 / $62.87	Facility		$9.59	$30.31	$62.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.24 / $19.62	Professional		$8.74	$11.24	$19.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.09 / $10.98	Professional		$6.31	$8.09	$10.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $13,785.00 / $13,785.00	Facility		$9.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $13.17	Professional		$9.60	$9.60	$13.17
United Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $12.35 / $16.46	Facility		$7.55	$12.35	$16.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.23 / $15.54	Professional		$5.25	$8.23	$15.54