Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $7.84 / $27.53	Facility		$1.38	$7.84	$27.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.50 / $4.67	Professional		$2.14	$3.50	$4.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.73 / $2.73	Professional		$2.35	$2.73	$2.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $20.36 / $423.57	Facility		$5.51	$20.36	$423.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $5.98 / $7.10	Professional		$2.94	$5.98	$7.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $8.66 / $17.96	Facility		$2.74	$8.66	$17.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.30 / $5.96	Professional		$2.54	$4.30	$5.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.16 / $3.14	Professional		$1.57	$2.16	$3.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $13,785.00 / $13,785.00	Facility		$2.74	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.74 / $2.74	Professional		$1.46	$2.74	$2.74
United Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $2.69 / $2.80	Facility		$1.37	$2.69	$2.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.35 / $3.92	Professional		$1.61	$2.35	$3.92