Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $27.12 / $107.58	Facility		$11.73	$27.12	$107.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.98 / $46.50	Professional		$12.07	$15.98	$46.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $16.30 / $42.73	Professional		$13.45	$16.30	$42.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $39.70 / $82.16	Facility		$12.53	$39.70	$82.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $13.15 / $21.07	Professional		$9.85	$13.15	$21.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $8.97 / $10.76	Professional		$3.69	$8.97	$10.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $13,785.00 / $13,785.00	Facility		$17.93	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $17.71	Professional		$14.83	$14.83	$17.71
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $10.76 / $22.69	Professional		$7.17	$10.76	$22.69