Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $10.64 / $39.00	Facility		$2.37	$10.64	$39.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.13 / $2.83	Professional		$1.85	$2.13	$2.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.64	Professional		$1.42	$1.42	$1.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $23.95 / $331.57	Facility		$4.95	$23.95	$331.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $4.48 / $7.00	Professional		$1.78	$4.48	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $5.05 / $10.86	Facility		$1.65	$5.05	$10.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.60 / $4.25	Professional		$1.55	$2.60	$4.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.40 / $2.68	Professional		$1.09	$1.40	$2.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $13,785.00 / $13,785.00	Facility		$1.66	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $2.18	Professional		$1.66	$1.66	$2.18
United Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $1.30 / $3.00	Facility		$1.30	$1.30	$3.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.66 / $3.31	Professional		$1.01	$1.66	$3.31