Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $9.74 / $46.59	Facility		$4.75	$9.74	$46.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.13 / $4.75	Professional		$3.67	$4.13	$4.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $3.29	Professional		$2.85	$2.85	$3.29
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $42.07 / $378.91	Facility		$11.55	$42.07	$378.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $7.85 / $8.61	Professional		$2.61	$7.85	$8.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $10.19 / $21.77	Facility		$3.32	$10.19	$21.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.21 / $7.67	Professional		$3.02	$5.21	$7.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.80 / $4.75	Professional		$2.19	$2.80	$4.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $8,702.00 / $13,785.00	Facility		$3.33	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $4.36	Professional		$3.33	$3.33	$4.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.09 / $6.64	Professional		$2.00	$3.09	$6.64