Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $33.22 / $104.23	Facility		$3.65	$33.22	$104.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.77 / $3.49	Professional		$2.35	$2.77	$3.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.90 / $2.43	Professional		$1.51	$1.90	$2.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $71.40 / $668.30	Facility		$8.51	$71.40	$668.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $4.53 / $13.50	Professional		$1.74	$4.53	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $7.22 / $14.53	Facility		$3.10	$7.22	$14.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.72 / $5.85	Professional		$2.06	$3.72	$5.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.87 / $3.17	Professional		$1.46	$1.87	$3.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $13,785.00 / $13,785.00	Facility		$2.22	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.91	Professional		$2.22	$2.22	$2.91
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Facility		$1.74	$1.74	$1.74
United Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $2.06 / $4.43	Professional		$1.43	$2.06	$4.43