Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $15.12 / $87.38	Facility		$3.93	$15.12	$87.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.21 / $3.67	Professional		$2.86	$3.21	$3.67
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 $3.29 / $44.28 / $360.04	Facility		$3.29	$44.28	$360.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.48 / $6.65	Professional		$2.75	$5.48	$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 $2.38 / $2.97 / $5.16	Professional		$2.38	$2.97	$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 / $13,785.00 / $13,785.00	Facility		$2.57	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.37	Professional		$2.57	$2.57	$3.37
United Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $3.67 / $7.53	Facility		$1.72	$3.67	$7.53
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.20 / $5.43	Professional		$1.54	$2.20	$5.43