Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $17.20 / $52.00	Facility		$4.67	$17.20	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.77 / $6.83	Professional		$4.21	$5.77	$6.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $11.74	Professional		$10.29	$10.29	$11.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $14.43 / $29.65	Facility		$4.51	$14.43	$29.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.30 / $9.28	Professional		$4.13	$5.30	$9.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.82 / $5.53	Professional		$2.98	$3.82	$5.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $13,785.00 / $13,785.00	Facility		$4.53	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $5.81	Professional		$4.53	$4.53	$5.81
United Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $3.56 / $3.56	Facility		$3.56	$3.56	$3.56
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.88 / $8.96	Professional		$2.59	$3.88	$8.96