Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $19.05 / $54.95	Facility		$5.25	$19.05	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.47 / $25.70	Professional		$3.02	$4.47	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.95 / $3.47	Professional		$2.34	$2.95	$3.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $36.31 / $316.23	Facility		$10.00	$36.31	$316.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $7.94 / $12.02	Professional		$3.72	$7.94	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10.72 / $22.91	Facility		$4.79	$10.72	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.37 / $7.76	Professional		$3.24	$5.37	$7.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $5.13	Professional		$2.00	$2.69	$5.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $10,471.29 / $25,118.86	Facility		$4.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.57 / $5.50	Professional		$4.37	$4.57	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $4.90 / $10.23	Facility		$2.34	$4.90	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.95 / $7.24	Professional		$2.00	$2.95	$7.24