Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $27.38 / $81.67	Facility		$6.61	$27.38	$81.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.75 / $6.61	Professional		$5.11	$5.75	$6.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Professional		$4.59	$4.59	$4.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $69.59 / $1,410.81	Facility		$17.00	$69.59	$1,410.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $7.48 / $11.98	Professional		$4.96	$7.48	$11.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $14.43 / $30.29	Facility		$4.62	$14.43	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.51 / $9.28	Professional		$4.29	$5.51	$9.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.90 / $6.10	Professional		$3.04	$3.90	$6.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $8,702.00 / $13,785.00	Facility		$4.63	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $6.08	Professional		$4.63	$4.63	$6.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.97 / $9.24	Professional		$2.64	$3.97	$9.24