Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $13.95 / $454.00	Facility		$2.45	$13.95	$454.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.96 / $6.00	Professional		$1.98	$2.96	$6.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $33.93 / $230.82	Facility		$8.10	$33.93	$230.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $4.49 / $8.33	Professional		$1.91	$4.49	$8.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $7.94 / $15.95	Facility		$3.40	$7.94	$15.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.83 / $5.16	Professional		$1.67	$2.83	$5.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $2.02 / $2.89	Professional		$1.60	$2.02	$2.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $13,785.00 / $13,785.00	Facility		$2.44	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $2.45	Professional		$2.44	$2.44	$2.45
United Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.82 / $1.91	Facility		$1.22	$1.82	$1.91
United Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.25 / $3.57	Professional		$1.46	$2.25	$3.57