Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $8.91 / $35.48	Facility		$2.51	$8.91	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.19 / $15.14	Professional		$1.86	$2.19	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.41 / $1.66	Professional		$1.20	$1.41	$1.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.84 / $50.12	Facility		$17.78	$28.84	$50.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $4.47 / $7.08	Professional		$1.78	$4.47	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $5.01 / $10.96	Facility		$2.29	$5.01	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.82 / $3.63	Professional		$1.55	$2.82	$3.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.41 / $2.69	Professional		$1.12	$1.41	$2.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $10,471.29 / $25,118.86	Facility		$2.34	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.14 / $2.63	Professional		$1.41	$2.14	$2.63
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.34 / $4.90	Facility		$1.12	$2.34	$4.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.66 / $3.31	Professional		$1.07	$1.66	$3.31