Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $30.86 / $57.01	Facility		$5.83	$30.86	$57.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $8.19 / $10.16	Professional		$5.83	$8.19	$10.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $5.78 / $5.78	Professional		$5.78	$5.78	$5.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $18.21 / $18.21	Professional		$18.21	$18.21	$18.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $20.93 / $44.13	Facility		$6.73	$20.93	$44.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $7.85 / $13.94	Professional		$6.20	$7.85	$13.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $5.68 / $7.70	Professional		$4.43	$5.68	$7.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $8,702.00 / $13,785.00	Facility		$6.74	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $6.74 / $6.74	Professional		$6.74	$6.74	$6.74
United Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.78 / $11.16	Professional		$3.78	$5.78	$11.16