Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $21.70 / $51.69	Facility		$5.05	$21.70	$51.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.34 / $5.05	Professional		$4.00	$4.34	$5.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.38	Professional		$3.04	$3.04	$3.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $51.58 / $558.48	Facility		$12.54	$51.58	$558.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.80 / $8.83	Professional		$3.80	$5.80	$8.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $10.83 / $23.19	Facility		$3.54	$10.83	$23.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.03 / $7.23	Professional		$3.18	$4.03	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.99 / $5.03	Professional		$2.33	$2.99	$5.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $7,628.00 / $13,785.00	Facility		$3.54	$7,628.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54
United Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $3.04 / $6.79	Professional		$1.96	$3.04	$6.79