Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $10.54 / $45.15	Facility		$3.55	$10.54	$45.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $4.18 / $5.29	Professional		$3.41	$4.18	$5.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.76 / $3.19	Professional		$1.44	$2.76	$3.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $28.05 / $28.70	Facility		$23.80	$28.05	$28.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $8.34	Professional		$3.45	$3.45	$8.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $10.10 / $21.08	Facility		$3.21	$10.10	$21.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.49 / $6.71	Professional		$3.00	$4.49	$6.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.71 / $4.59	Professional		$2.12	$2.71	$4.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $13,785.00 / $13,785.00	Facility		$3.22	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $4.23	Professional		$3.22	$3.22	$4.23
United Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $3.16 / $3.29	Facility		$1.61	$3.16	$3.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.76 / $6.42	Professional		$1.93	$2.76	$6.42