Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $19.05 / $58.88	Facility		$5.75	$19.05	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.90 / $32.36	Professional		$3.89	$4.90	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.02 / $3.47	Professional		$2.51	$3.02	$3.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $48.98 / $77.62	Facility		$10.00	$48.98	$77.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.46 / $9.12	Professional		$3.80	$6.46	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $10.72 / $22.91	Facility		$4.90	$10.72	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.17 / $8.13	Professional		$3.39	$6.17	$8.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.75 / $5.62	Professional		$2.00	$2.75	$5.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10,471.29 / $25,118.86	Facility		$5.01	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.57 / $5.62	Professional		$4.47	$4.57	$5.62
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $5.01 / $10.23	Facility		$2.34	$5.01	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $7.41	Professional		$2.00	$3.02	$7.41