Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $13.59 / $19.79	Facility		$11.53	$13.59	$19.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.21 / $19.66	Professional		$10.00	$12.21	$19.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.46 / $27.14	Professional		$12.60	$14.46	$27.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $21.63 / $29.72	Professional		$10.07	$21.63	$29.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $17.89	Facility		$16.98	$16.98	$17.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $20.00 / $30.54	Professional		$11.42	$20.00	$30.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $22.06 / $29.13	Professional		$16.84	$22.06	$29.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $18.11 / $27.03	Professional		$14.43	$18.11	$27.03
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.86 / $28.29	Professional		$11.46	$16.86	$28.29