Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $28.32 / $69.29	Facility		$6.61	$28.32	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.90 / $6.00	Professional		$5.11	$5.90	$6.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.97 / $4.59	Professional		$3.31	$3.97	$4.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $80.64 / $1,690.91	Facility		$19.53	$80.64	$1,690.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $10.72 / $12.61	Professional		$4.96	$10.72	$12.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $14.43 / $30.29	Facility		$6.46	$14.43	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $6.34 / $9.28	Professional		$4.32	$6.34	$9.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.90 / $6.61	Professional		$3.04	$3.90	$6.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $13,785.00 / $13,785.00	Facility		$4.63	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $6.35	Professional		$4.63	$4.63	$6.35
United Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
United Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.97 / $7.50	Professional		$2.78	$3.97	$7.50