Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $20.75 / $75.00	Facility		$5.59	$20.75	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.51 / $5.18	Professional		$3.84	$4.51	$5.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.59 / $3.59	Professional		$1.55	$2.59	$3.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $77.00 / $1,687.50	Facility		$13.60	$77.00	$1,687.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $8.35 / $13.50	Professional		$3.89	$8.35	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $11.55 / $23.74	Facility		$3.62	$11.55	$23.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $5.12 / $9.03	Professional		$3.38	$5.12	$9.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.06 / $4.13	Professional		$2.38	$3.06	$4.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $8,702.00 / $13,785.00	Facility		$3.63	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.70	Professional		$3.63	$3.63	$4.70
United Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Facility		$2.85	$2.85	$2.85
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.11 / $7.67	Professional		$2.18	$3.11	$7.67