Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $77.62 / $1,000.00	Facility		$15.85	$77.62	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $87.10	Professional		$10.00	$15.85	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $15.49	Professional		$8.13	$12.30	$15.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $158.49 / $562.34	Facility		$51.29	$158.49	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $26.30	Professional		$9.55	$13.80	$26.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $29.51	Professional		$15.14	$19.05	$29.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $28.84	Professional		$10.96	$12.88	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $20.42	Professional		$9.12	$12.59	$20.42