Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $21.44 / $90.00	Facility		$5.45	$21.44	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.26 / $4.74	Professional		$3.51	$4.26	$4.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.37 / $3.29	Professional		$2.25	$2.37	$3.29
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $63.51 / $101.60	Facility		$20.80	$63.51	$101.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $6.68 / $8.60	Professional		$3.56	$6.68	$8.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $10.10 / $21.72	Facility		$3.32	$10.10	$21.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.84 / $8.50	Professional		$3.07	$4.84	$8.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.80 / $4.74	Professional		$2.18	$2.80	$4.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $8,702.00 / $13,785.00	Facility		$3.32	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.32 / $4.55	Professional		$3.32	$3.32	$4.55
United Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.25 / $3.38	Facility		$1.66	$3.25	$3.38
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.84 / $6.63	Professional		$1.99	$2.84	$6.63