Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $27.52 / $258.04	Facility		$9.30	$27.52	$258.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $10.73 / $12.01	Professional		$8.92	$10.73	$12.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $7.21 / $8.34	Professional		$5.72	$7.21	$8.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $20.07 / $22.74	Professional		$9.01	$20.07	$22.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $26.70 / $55.03	Facility		$8.40	$26.70	$55.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $9.75 / $17.04	Professional		$7.78	$9.75	$17.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $7.09 / $12.01	Professional		$5.52	$7.09	$12.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $12.01 / $13,785.00	Facility		$8.41	$12.01	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $11.04	Professional		$8.41	$8.41	$11.04
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.21 / $16.80	Professional		$4.80	$7.21	$16.80