Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $57.07 / $439.83	Facility		$19.66	$57.07	$439.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $16.89	Professional		$0.11	$0.11	$16.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $18.00	Professional		$12.00	$12.00	$18.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.79 / $4.80	Facility		$0.32	$0.79	$4.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.16	Professional		$0.16	$0.16	$0.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.16 / $0.21	Facility		$0.11	$0.16	$0.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.13	Professional		$0.12	$0.12	$0.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.17	Professional		$0.12	$0.12	$0.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.12	Professional		$0.11	$0.11	$0.12