Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $21.23 / $81.17	Facility		$5.18	$21.23	$81.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.61 / $6.04	Professional		$4.01	$4.61	$6.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $59.50 / $558.97	Facility		$13.12	$59.50	$558.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $8.57 / $12.33	Professional		$3.89	$8.57	$12.33
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 $3.34 / $5.68 / $7.23	Professional		$3.34	$5.68	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.06 / $4.78	Professional		$2.38	$3.06	$4.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $13,785.00 / $13,785.00	Facility		$3.63	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.76	Professional		$3.63	$3.63	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.33 / $7.23	Professional		$2.20	$3.33	$7.23