Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $13.26 / $82.66	Facility		$5.01	$13.26	$82.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.78 / $6.46	Professional		$4.84	$5.78	$6.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.88 / $4.49	Professional		$3.08	$3.88	$4.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $44.80 / $74.52	Facility		$17.07	$44.80	$74.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.69 / $11.74	Professional		$4.84	$8.69	$11.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $14.43 / $29.65	Facility		$4.51	$14.43	$29.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.30 / $9.28	Professional		$4.13	$5.30	$9.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.56 / $5.18	Professional		$2.98	$3.56	$5.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $8,702.00 / $13,785.00	Facility		$4.53	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $5.88	Professional		$4.53	$4.53	$5.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $4.43 / $4.61	Facility		$2.25	$4.43	$4.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.88 / $9.03	Professional		$2.50	$3.88	$9.03