Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $38.20 / $122.84	Facility		$15.28	$38.20	$122.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $17.64 / $20.84	Professional		$14.81	$17.64	$20.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $11.84 / $11.84	Professional		$11.84	$11.84	$11.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $37.65 / $37.65	Professional		$37.65	$37.65	$37.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $43.30 / $90.46	Facility		$13.79	$43.30	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.11 / $26.78	Professional		$12.71	$16.11	$26.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $10.86 / $15.79	Professional		$9.08	$10.86	$15.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $8,702.00 / $13,785.00	Facility		$13.82	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $18.14	Professional		$13.82	$13.82	$18.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.84 / $27.59	Professional		$8.28	$11.84	$27.59