Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $23.33 / $68.19	Facility		$9.33	$23.33	$68.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.79 / $14.42	Professional		$8.94	$10.79	$14.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $25.87	Professional		$19.59	$19.59	$25.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $26.70 / $55.22	Facility		$8.42	$26.70	$55.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $12.12 / $18.75	Professional		$7.78	$12.12	$18.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $6.87 / $9.64	Professional		$5.54	$6.87	$9.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $13,785.00 / $13,785.00	Facility		$8.44	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $10.24 / $10.85	Professional		$10.24	$10.24	$10.85
United Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $10.85 / $14.46	Facility		$10.85	$10.85	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $7.23 / $17.50	Professional		$4.82	$7.23	$17.50