Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $61.81 / $221.96	Facility		$13.25	$61.81	$221.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.95 / $13.26	Professional		$12.48	$12.95	$13.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Professional		$9.36	$9.36	$9.36
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $88.56 / $1,541.55 / $2,358.25	Facility		$88.56	$1,541.55	$2,358.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $17.16	Facility		$13.26	$13.26	$17.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $13,785.00 / $13,785.00	Facility		$10.79	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $31.50	Professional		$11.05	$11.05	$31.50
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $15.60	Professional		$13.00	$13.00	$15.60