Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $20.51 / $54.17	Facility		$3.94	$20.51	$54.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $4.57 / $5.09	Professional		$3.94	$4.57	$5.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.06 / $3.54	Professional		$2.75	$3.06	$3.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $7.51 / $87.00	Professional		$3.83	$7.51	$87.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $11.55 / $23.37	Facility		$3.56	$11.55	$23.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.01 / $6.91	Professional		$3.33	$4.01	$6.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.01 / $5.09	Professional		$2.35	$3.01	$5.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $8,702.00 / $13,785.00	Facility		$3.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $4.62	Professional		$3.57	$3.57	$4.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.06 / $5.77	Professional		$2.04	$3.06	$5.77