Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $42.90 / $185.99	Facility		$11.85	$42.90	$185.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $22.94 / $23.58	Professional		$10.25	$22.94	$23.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $10.15	Professional		$9.19	$9.19	$10.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $21.30 / $42.00	Professional		$9.93	$21.30	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $28.87 / $60.67	Facility		$9.25	$28.87	$60.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.81 / $19.10	Professional		$8.42	$10.81	$19.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $7.81 / $13.24	Professional		$6.09	$7.81	$13.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $8,702.00 / $13,785.00	Facility		$9.27	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
United Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $13.24 / $27.17	Facility		$6.22	$13.24	$27.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $19.61	Professional		$5.25	$7.94	$19.61