Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $7.16 / $25.14	Facility		$2.77	$7.16	$25.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.20 / $3.58	Professional		$2.79	$3.20	$3.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.15 / $2.49	Professional		$2.15	$2.15	$2.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $168.30 / $168.30	Facility		$168.30	$168.30	$168.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.69 / $5.55	Professional		$1.97	$2.69	$5.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $7.94 / $16.39	Facility		$2.50	$7.94	$16.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.93 / $6.38	Professional		$2.34	$3.93	$6.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.97 / $2.86	Professional		$1.43	$1.97	$2.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $4,207.00 / $13,785.00	Facility		$2.50	$4,207.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $3.29	Professional		$2.50	$2.50	$3.29
United Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $2.45 / $2.54	Facility		$1.25	$2.45	$2.54
United Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.33 / $5.00	Professional		$1.50	$2.33	$5.00