Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $12.81 / $66.50	Facility		$4.26	$12.81	$66.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.72 / $4.01	Professional		$3.17	$3.72	$4.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.56 / $2.97	Professional		$2.02	$2.56	$2.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $65.25 / $285.25	Facility		$11.06	$65.25	$285.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $5.55 / $7.18	Professional		$3.20	$5.55	$7.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $9.38 / $19.57	Facility		$2.98	$9.38	$19.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.30 / $7.98	Professional		$2.79	$4.30	$7.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.52 / $3.42	Professional		$1.96	$2.52	$3.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $13,785.00 / $13,785.00	Facility		$2.99	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $2.99 / $3.87	Professional		$2.99	$2.99	$3.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.56 / $5.96	Professional		$1.71	$2.56	$5.96