Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $25.90 / $102.96	Facility		$13.27	$25.90	$102.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $14.12 / $20.42	Professional		$12.74	$14.12	$20.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $36.46	Professional		$12.87	$12.87	$36.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $37.53 / $78.63	Facility		$11.99	$37.53	$78.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.99 / $24.78	Professional		$10.96	$13.99	$24.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $10.11 / $17.16	Professional		$7.89	$10.11	$17.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $13,785.00 / $13,785.00	Facility		$12.01	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $12.01 / $15.77	Professional		$12.01	$12.01	$15.77
United Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $10.30 / $24.72	Professional		$6.64	$10.30	$24.72