Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4,134.00 / $9,842.00	Facility		$3.63	$4,134.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $7.32 / $89.65	Professional		$2.16	$7.32	$89.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.92 / $2.46 / $4.50	Professional	52	$0.92	$2.46	$4.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $9.08 / $26.18	Professional		$6.27	$9.08	$26.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $6.35 / $14.09	Professional		$1.87	$6.35	$14.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.26 / $11.58	Professional		$6.83	$9.26	$11.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $6.03 / $10.73	Professional		$1.96	$6.03	$10.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.42 / $13.47	Professional		$3.89	$6.42	$13.47