Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.02 / $63.10	Facility		$5.25	$12.02	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.79 / $7.59	Professional		$3.98	$4.79	$7.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.31 / $5.25	Professional		$2.75	$3.31	$5.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $63.10 / $66.07	Facility		$10.72	$63.10	$66.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.24 / $9.55	Professional		$3.98	$7.24	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $11.48 / $24.55	Facility		$5.25	$11.48	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.61 / $9.33	Professional		$3.47	$6.61	$9.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.63 / $6.03	Professional		$2.14	$2.63	$6.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $9,549.93 / $25,118.86	Facility		$5.25	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.79 / $5.89	Professional		$3.16	$4.79	$5.89
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $5.25 / $10.96	Facility		$2.51	$5.25	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.16 / $7.76	Professional		$2.09	$3.16	$7.76