Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $14.09 / $50.74	Facility		$3.37	$14.09	$50.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.90 / $4.79	Professional		$3.26	$3.90	$4.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.03 / $3.03	Professional		$2.90	$3.03	$3.03
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $13.57 / $674.07	Facility		$3.29	$13.57	$674.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $7.25 / $7.90	Professional		$2.39	$7.25	$7.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $9.38 / $19.93	Facility		$3.04	$9.38	$19.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.96 / $7.98	Professional		$2.84	$4.96	$7.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.57 / $4.34	Professional		$2.00	$2.57	$4.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $13,785.00 / $13,785.00	Facility		$3.05	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.05 / $3.05	Professional		$3.05	$3.05	$3.05
United Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.39 / $2.39	Facility		$2.39	$2.39	$2.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.61 / $6.08	Professional		$1.83	$2.61	$6.08