Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $37.01 / $117.25	Facility		$6.49	$37.01	$117.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.23 / $6.01	Professional		$4.46	$5.23	$6.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.61 / $4.17	Professional		$2.86	$3.61	$4.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $96.40 / $190.85	Facility		$55.25	$96.40	$190.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.12 / $11.35	Professional		$4.51	$7.12	$11.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $12.99 / $27.54	Facility		$4.20	$12.99	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.88 / $8.77	Professional		$3.81	$4.88	$8.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.55 / $6.01	Professional		$2.76	$3.55	$6.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $13,785.00 / $13,785.00	Facility		$4.21	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $5.52	Professional		$4.21	$4.21	$5.52
United Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $4.12 / $4.28	Facility		$2.10	$4.12	$4.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.61 / $8.38	Professional		$2.52	$3.61	$8.38