Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $15.07 / $65.01	Facility		$5.30	$15.07	$65.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.71 / $7.21	Professional		$4.13	$4.71	$7.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $3.18 / $3.68	Professional		$1.44	$3.18	$3.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $63.00 / $456.21	Facility		$10.64	$63.00	$456.21
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.20 / $9.59	Professional		$3.98	$7.20	$9.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $11.55 / $24.29	Facility		$3.70	$11.55	$24.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $5.82 / $11.70	Professional		$3.46	$5.82	$11.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.13 / $5.08	Professional		$2.44	$3.13	$5.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $6,950.00 / $13,785.00	Facility		$3.71	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $3.71 / $4.87	Professional		$3.71	$3.71	$4.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.18 / $6.01	Professional		$2.12	$3.18	$6.01