Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $9.77 / $63.47	Facility		$5.00	$9.77	$63.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.50 / $7.56	Professional		$4.80	$5.50	$7.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $116.45 / $116.45	Facility		$116.45	$116.45	$116.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $15.43 / $15.43	Professional		$15.43	$15.43	$15.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $14.43 / $29.65	Facility		$4.51	$14.43	$29.65
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 $2.98 / $3.82 / $6.47	Professional		$2.98	$3.82	$6.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $13,785.00 / $13,785.00	Facility		$4.53	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $6.21	Professional		$4.53	$4.53	$6.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.88 / $7.32	Professional		$2.59	$3.88	$7.32