Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $29.28 / $82.17	Facility		$6.97	$29.28	$82.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.68 / $6.51	Professional		$5.08	$5.68	$6.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.91 / $4.51	Professional		$1.95	$3.91	$4.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $92.34 / $237.15	Facility		$20.39	$92.34	$237.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $10.86 / $11.82	Professional		$4.88	$10.86	$11.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $14.43 / $29.83	Facility		$4.55	$14.43	$29.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $7.14 / $13.29	Professional		$4.25	$7.14	$13.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.84 / $5.21	Professional		$2.99	$3.84	$5.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $8,702.00 / $13,785.00	Facility		$4.55	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $5.98	Professional		$4.55	$4.55	$5.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.91 / $9.64	Professional		$2.60	$3.91	$9.64