Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $15.52 / $54.75	Facility		$3.99	$15.52	$54.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.61 / $3.99	Professional		$2.99	$3.61	$3.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.39 / $2.78	Professional		$1.90	$2.39	$2.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $40.50 / $441.26	Facility		$10.40	$40.50	$441.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $6.66 / $7.56	Professional		$2.99	$6.66	$7.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $8.66 / $18.28	Facility		$2.78	$8.66	$18.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.18 / $5.68	Professional		$2.54	$3.18	$5.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.35 / $3.20	Professional		$1.84	$2.35	$3.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $13,785.00 / $13,785.00	Facility		$2.79	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.84	Professional		$2.79	$2.79	$3.84
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
United Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $2.39 / $5.92	Professional		$1.60	$2.39	$5.92