Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $25.60 / $106.96	Facility		$15.80	$25.60	$106.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $16.23 / $24.90	Professional		$15.45	$16.23	$24.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $49.61	Professional		$15.61	$15.61	$49.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $46.19 / $95.36	Facility		$14.54	$46.19	$95.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.09 / $24.13	Professional		$13.35	$16.09	$24.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.28 / $20.81	Professional		$9.57	$12.28	$20.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $8,702.00 / $13,785.00	Facility		$14.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $19.13	Professional		$14.57	$14.57	$19.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.49 / $30.83	Professional		$8.32	$12.49	$30.83