Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $22.25 / $110.68	Facility		$14.97	$22.25	$110.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $16.45 / $22.59	Professional		$13.76	$16.45	$22.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $9.22	Professional		$9.22	$9.22	$9.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $14.51 / $29.94	Professional		$14.51	$14.51	$29.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $42.58 / $88.67	Facility		$13.52	$42.58	$88.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $15.90 / $27.88	Professional		$12.39	$15.90	$27.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.42 / $19.35	Professional		$8.90	$11.42	$19.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $13,785.00 / $13,785.00	Facility		$13.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $13.55 / $17.78	Professional		$13.55	$13.55	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $11.61 / $27.04	Professional		$7.49	$11.61	$27.04