Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $17.78 / $162.18	Facility		$3.63	$17.78	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.82 / $9.12	Professional		$2.00	$2.82	$9.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.91 / $3.16	Professional		$1.35	$1.91	$3.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $74.13 / $112.20	Facility		$16.98	$74.13	$112.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $7.24 / $20.42	Professional		$2.40	$7.24	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $7.24 / $14.45	Facility		$3.09	$7.24	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.72 / $5.13	Professional		$2.14	$3.72	$5.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.58 / $3.55	Professional		$1.26	$1.58	$3.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $10,471.29 / $25,118.86	Facility		$3.16	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.88 / $3.55	Professional		$2.82	$2.88	$3.55
United Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $3.16 / $6.46	Facility		$1.48	$3.16	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.24 / $4.47	Professional		$1.45	$2.24	$4.47