Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $18.17 / $79.80	Facility		$5.67	$18.17	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.95 / $5.67	Professional		$4.38	$4.95	$5.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.84 / $3.94	Professional		$2.70	$2.84	$3.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $69.47 / $609.54	Facility		$14.36	$69.47	$609.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $9.42 / $13.52	Professional		$4.25	$9.42	$13.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $12.27 / $25.98	Facility		$3.96	$12.27	$25.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $5.66 / $10.10	Professional		$3.71	$5.66	$10.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.35 / $5.25	Professional		$2.61	$3.35	$5.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $8,702.00 / $13,785.00	Facility		$3.97	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $3.97 / $5.21	Professional		$3.97	$3.97	$5.21
United Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.12 / $3.12	Facility		$3.12	$3.12	$3.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.40 / $7.93	Professional		$2.38	$3.40	$7.93