Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $20.98 / $107.19	Facility		$3.94	$20.98	$107.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.79 / $3.94	Professional		$1.67	$2.79	$3.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $35.00 / $906.75	Facility		$5.80	$35.00	$906.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $4.53 / $15.00	Professional		$1.80	$4.53	$15.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $7.22 / $15.03	Facility		$2.29	$7.22	$15.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $2.81 / $4.65	Professional		$1.53	$2.81	$4.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.94 / $2.62	Professional		$1.51	$1.94	$2.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $13,785.00 / $13,785.00	Facility		$2.29	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.29 / $2.29	Professional		$1.97	$2.29	$2.29
United Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Facility		$1.80	$1.80	$1.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.68 / $3.28	Professional		$1.39	$2.68	$3.28