Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $48.13 / $182.63	Facility		$13.09	$48.13	$182.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $15.14 / $29.48	Professional		$12.68	$15.14	$29.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $10.15 / $10.15	Professional		$10.15	$10.15	$10.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $26.88	Professional		$12.68	$12.68	$26.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $37.53 / $77.48	Facility		$11.81	$37.53	$77.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $24.26	Professional		$10.80	$13.78	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.30 / $13.53	Professional		$6.76	$9.30	$13.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $13,785.00 / $13,785.00	Facility		$11.84	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $11.84 / $16.23	Professional		$11.84	$11.84	$16.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $10.15 / $23.62	Professional		$7.10	$10.15	$23.62