Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $24.80 / $56.50	Facility		$5.72	$24.80	$56.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.38 / $5.01	Professional		$3.71	$4.38	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $3.01 / $3.48	Professional		$1.36	$3.01	$3.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $55.09 / $350.55	Facility		$11.39	$55.09	$350.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $5.60 / $9.10	Professional		$3.77	$5.60	$9.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $10.83 / $23.00	Facility		$3.51	$10.83	$23.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.51 / $9.03	Professional		$3.24	$5.51	$9.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.96 / $5.67	Professional		$2.31	$2.96	$5.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $8,702.00 / $13,785.00	Facility		$3.51	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.51 / $4.61	Professional		$3.51	$3.51	$4.61
United Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Facility		$2.76	$2.76	$2.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.01 / $5.68	Professional		$2.10	$3.01	$5.68