Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $21.36 / $64.17	Facility		$6.62	$21.36	$64.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.42 / $8.23	Professional		$4.46	$5.42	$8.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.62 / $4.19	Professional		$2.29	$3.62	$4.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $62.90 / $712.19	Facility		$3.29	$62.90	$712.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $6.80 / $10.96	Professional		$4.53	$6.80	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $12.99 / $27.68	Facility		$4.22	$12.99	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $6.20 / $11.16	Professional		$3.92	$6.20	$11.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.56 / $5.08	Professional		$2.78	$3.56	$5.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $13,785.00 / $13,785.00	Facility		$4.23	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.80	Professional		$4.23	$4.23	$5.80
United Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.32 / $7.00	Facility		$3.32	$3.32	$7.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.62 / $8.94	Professional		$2.54	$3.62	$8.94