Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $17.23 / $70.00	Facility		$5.16	$17.23	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.62 / $5.16	Professional		$3.99	$4.62	$5.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $3.10 / $3.58	Professional		$1.44	$3.10	$3.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $13.61 / $167.54	Facility		$3.28	$13.61	$167.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $8.56 / $9.36	Professional		$3.87	$8.56	$9.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $11.55 / $23.64	Facility		$3.60	$11.55	$23.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $5.66 / $9.58	Professional		$3.37	$5.66	$9.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.04 / $5.08	Professional		$2.37	$3.04	$5.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $8,702.00 / $13,785.00	Facility		$3.61	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $4.74	Professional		$3.61	$3.61	$4.74
United Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $5.16 / $10.59	Facility		$2.43	$5.16	$10.59
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.10 / $7.20	Professional		$2.00	$3.10	$7.20