Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $15.81 / $58.34	Facility		$3.78	$15.81	$58.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.26 / $5.61	Professional		$3.63	$4.26	$5.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.93 / $3.39	Professional		$2.44	$2.93	$3.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $63.00 / $63.00	Facility		$63.00	$63.00	$63.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $7.91 / $8.86	Professional		$3.66	$7.91	$8.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $10.83 / $22.36	Facility		$3.41	$10.83	$22.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.75 / $7.23	Professional		$3.19	$4.75	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.88 / $4.88	Professional		$2.24	$2.88	$4.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $13,785.00 / $13,785.00	Facility		$3.42	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.42 / $4.49	Professional		$3.42	$3.42	$4.49
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.93 / $6.83	Professional		$2.04	$2.93	$6.83