Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $29.51 / $269.15	Facility		$10.23	$29.51	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $38.02	Professional		$7.94	$12.02	$38.02
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $9.77 / $15.49 / $28.18	Professional	CQ	$9.77	$15.49	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $18.62	Professional		$10.72	$12.30	$18.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
AmeriHealth Facility/Professional Professional Modifier CQ Low / Median / High Price $15.14 / $15.14 / $15.14	Professional	CQ	$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.38 / $28.84	Professional		$9.12	$17.38	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $81.28	Professional		$16.98	$28.18	$81.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $18.62	Professional		$10.96	$12.88	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.45 / $15.85	Facility		$12.88	$14.45	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $19.05	Professional		$12.30	$15.49	$19.05