Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $12.59 / $57.54	Facility		$4.27	$12.59	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.63 / $9.12	Professional		$3.02	$3.63	$9.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $2.75	Professional		$2.00	$2.40	$2.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $40.74 / $63.10	Facility		$23.44	$40.74	$63.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.61 / $7.59	Professional		$3.02	$6.61	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.71 / $18.20	Facility		$3.89	$8.71	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.98 / $6.17	Professional		$2.63	$3.98	$6.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.00 / $4.47	Professional		$1.58	$2.00	$4.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $9,772.37 / $25,118.86	Facility		$3.98	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.63 / $4.47	Professional		$3.55	$3.63	$4.47
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.98 / $8.13	Facility		$1.86	$3.98	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.40 / $5.89	Professional		$1.58	$2.40	$5.89