Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $32.04 / $90.05	Facility		$8.94	$32.04	$90.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.31 / $10.49	Professional		$8.59	$10.31	$10.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.79 / $8.02	Professional		$3.47	$5.79	$8.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $19.05 / $24.58	Professional		$8.68	$19.05	$24.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $25.26 / $53.02	Facility		$8.09	$25.26	$53.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.53 / $16.52	Professional		$7.47	$9.53	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.83 / $10.19	Professional		$5.32	$6.83	$10.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $13,785.00 / $13,785.00	Facility		$8.10	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $10.63	Professional		$8.10	$8.10	$10.63
United Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $6.36 / $13.00	Facility		$6.36	$6.36	$13.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.94 / $17.14	Professional		$4.63	$6.94	$17.14