Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $18.50 / $54.00	Facility		$4.95	$18.50	$54.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.43 / $5.45	Professional		$3.47	$4.43	$5.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.48 / $3.44	Professional		$1.54	$2.48	$3.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $13.45 / $167.54	Facility		$3.28	$13.45	$167.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $7.93 / $12.00	Professional		$3.71	$7.93	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $10.83 / $22.68	Facility		$3.46	$10.83	$22.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $5.43 / $8.77	Professional		$3.23	$5.43	$8.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.92 / $4.95	Professional		$2.27	$2.92	$4.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $8,702.00 / $13,785.00	Facility		$3.47	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $4.75	Professional		$3.47	$3.47	$4.75
United Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.97 / $7.33	Professional		$2.08	$2.97	$7.33