Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $16.46 / $69.98	Facility		$4.26	$16.46	$69.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.94 / $5.50	Professional		$4.26	$4.94	$5.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.83 / $3.83	Professional		$3.31	$3.83	$3.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $47.51 / $3,746.97	Facility		$11.55	$47.51	$3,746.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $9.02 / $10.43	Professional		$4.13	$9.02	$10.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $12.27 / $25.25	Facility		$3.85	$12.27	$25.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.45 / $7.74	Professional		$3.50	$4.45	$7.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.03 / $4.41	Professional		$2.20	$3.03	$4.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $13,785.00 / $13,785.00	Facility		$3.86	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $3.86 / $5.01	Professional		$3.86	$3.86	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $3.03 / $3.03	Facility		$3.03	$3.03	$3.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.31 / $7.71	Professional		$2.31	$3.31	$7.71