Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $15.83 / $51.08	Facility		$6.33	$15.83	$51.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $7.32 / $10.27	Professional		$4.32	$7.32	$10.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $6.20	Professional		$6.20	$6.20	$6.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $14.07 / $14.07	Professional		$14.07	$14.07	$14.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $19.48 / $40.92	Facility		$6.24	$19.48	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $7.21 / $12.91	Professional		$5.72	$7.21	$12.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $5.27 / $8.11	Professional		$4.11	$5.27	$8.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $8,702.00 / $13,785.00	Facility		$6.25	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $7.43	Professional		$6.25	$6.25	$7.43
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.25 / $12.12	Professional		$3.75	$5.25	$12.12