Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $19.95 / $74.13	Facility		$7.76	$19.95	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $12.30	Professional		$4.57	$5.75	$12.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.72 / $5.50	Professional		$2.75	$3.72	$5.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $75.86 / $223.87	Facility		$20.42	$75.86	$223.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.89 / $11.75	Professional		$4.79	$5.89	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $14.45 / $29.51	Facility		$6.31	$14.45	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.46 / $10.72	Professional		$4.27	$6.46	$10.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.55 / $7.24	Professional		$2.57	$3.55	$7.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $9,549.93 / $25,118.86	Facility		$6.46	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $7.24	Professional		$5.75	$5.89	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.46 / $13.49	Facility		$3.02	$6.46	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.89 / $9.55	Professional		$2.51	$3.89	$9.55