Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $51.92 / $251.77	Facility		$11.65	$51.92	$251.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.12 / $18.01	Professional		$11.29	$13.12	$18.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $22.27 / $22.27	Professional		$22.27	$22.27	$22.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $33.20 / $68.95	Facility		$10.52	$33.20	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.30 / $21.68	Professional		$9.69	$12.30	$21.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.27 / $12.04	Professional		$6.92	$8.27	$12.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $8,702.00 / $13,785.00	Facility		$10.54	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
United Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Facility		$8.27	$8.27	$8.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.02 / $21.68	Professional		$5.83	$9.02	$21.68