Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $20.37 / $32.76	Facility		$6.14	$20.37	$32.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.38 / $6.75	Professional		$3.15	$4.38	$6.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $1.84 / $1.84	Professional		$1.84	$1.84	$1.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $54.30 / $689.94	Facility		$14.70	$54.30	$689.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $13.71 / $28.14	Facility		$4.29	$13.71	$28.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.66 / $8.77	Professional		$3.65	$4.66	$8.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.62 / $4.93	Professional		$2.82	$3.62	$4.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $3,243.00 / $13,785.00	Facility		$4.30	$3,243.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $5.45	Professional		$4.30	$4.30	$5.45
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.68 / $8.40	Professional		$2.15	$3.68	$8.40