Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $17.89 / $56.95	Facility		$3.38	$17.89	$56.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.34 / $5.53	Professional		$3.46	$4.34	$5.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.41 / $3.34	Professional		$1.44	$2.41	$3.34
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $13.57 / $711.71	Facility		$3.28	$13.57	$711.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.52 / $8.72	Professional		$3.61	$5.52	$8.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.36 / $10.83 / $22.04	Facility		$3.36	$10.83	$22.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $4.75 / $7.23	Professional		$3.14	$4.75	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.84 / $4.80	Professional		$2.21	$2.84	$4.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $13,785.00 / $13,785.00	Facility		$3.37	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $4.20	Professional		$3.37	$3.37	$4.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.89 / $6.48	Professional		$2.02	$2.89	$6.48