Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $14.94 / $64.87	Facility		$3.46	$14.94	$64.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.01 / $5.22	Professional		$3.36	$4.01	$5.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.69 / $3.11	Professional		$2.13	$2.69	$3.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $7.41 / $8.44	Professional		$3.36	$7.41	$8.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $10.10 / $20.53	Facility		$3.13	$10.10	$20.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.60 / $6.71	Professional		$2.86	$3.60	$6.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.64 / $3.58	Professional		$2.06	$2.64	$3.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $13,785.00 / $13,785.00	Facility		$3.14	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $4.05	Professional		$3.14	$3.14	$4.05
United Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.46 / $2.46	Facility		$2.46	$2.46	$2.46
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.69 / $5.07	Professional		$1.88	$2.69	$5.07