Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $24.10 / $212.72	Facility		$6.39	$24.10	$212.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.62 / $13.14	Professional		$7.23	$12.62	$13.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $29.98 / $71.43	Professional		$9.03	$29.98	$71.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $15.25 / $36.09	Facility		$8.42	$15.25	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $13.22 / $17.04	Professional		$6.39	$13.22	$17.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.63 / $7.30	Professional		$4.82	$6.63	$7.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $11.57	Professional		$9.64	$9.64	$11.57
United Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $12.05 / $24.73	Facility		$5.66	$12.05	$24.73
United Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $7.23 / $12.29	Professional		$4.82	$7.23	$12.29