Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $23.80 / $114.17	Facility		$14.73	$23.80	$114.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $15.67 / $22.24	Professional		$13.76	$15.67	$22.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $29.32 / $36.02	Professional		$14.28	$29.32	$36.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $41.86 / $87.25	Facility		$13.30	$41.86	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $15.69 / $27.36	Professional		$12.23	$15.69	$27.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $11.23 / $19.04	Professional		$8.76	$11.23	$19.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $13,785.00 / $13,785.00	Facility		$13.33	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $13.33 / $13.33	Professional		$13.33	$13.33	$13.33
United Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $11.42 / $26.60	Professional		$7.37	$11.42	$26.60