Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $11.76 / $47.99	Facility		$2.84	$11.76	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $3.29 / $4.04	Professional		$2.39	$3.29	$4.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.20 / $2.54	Professional		$1.75	$2.20	$2.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $13.57 / $369.46	Facility		$3.28	$13.57	$369.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $6.07 / $6.65	Professional		$2.75	$6.07	$6.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $7.94 / $16.82	Facility		$2.56	$7.94	$16.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $3.70 / $5.16	Professional		$2.39	$3.70	$5.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.17 / $3.67	Professional		$1.69	$2.17	$3.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $8,702.00 / $13,785.00	Facility		$2.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.52	Professional		$2.57	$2.57	$3.52
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.20 / $5.12	Professional		$1.42	$2.20	$5.12