Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $22.02 / $107.40	Facility		$13.84	$22.02	$107.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $14.74 / $20.92	Professional		$13.24	$14.74	$20.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $8.52	Professional		$8.52	$8.52	$8.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $13.43 / $27.91	Professional		$13.43	$13.43	$27.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $39.70 / $82.02	Facility		$12.51	$39.70	$82.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $14.63 / $25.81	Professional		$11.44	$14.63	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $10.56 / $17.89	Professional		$8.23	$10.56	$17.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $8,702.00 / $13,785.00	Facility		$12.53	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $16.26	Professional		$12.53	$12.53	$16.26
United Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Facility		$9.85	$9.85	$9.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $10.74 / $26.52	Professional		$7.16	$10.74	$26.52