Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $9.86 / $68.88	Facility		$5.05	$9.86	$68.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.09 / $7.64	Professional		$4.63	$5.09	$7.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $14.43 / $29.92	Facility		$4.55	$14.43	$29.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.30 / $9.28	Professional		$4.13	$5.30	$9.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.59 / $5.22	Professional		$2.61	$3.59	$5.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $13,785.00 / $13,785.00	Facility		$4.57	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $6.00	Professional		$4.57	$4.57	$6.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $3.92 / $9.13	Professional		$2.74	$3.92	$9.13