Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $11.77 / $52.59	Facility		$3.41	$11.77	$52.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $3.91 / $4.18	Professional		$3.41	$3.91	$4.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.93 / $3.06	Professional		$2.10	$2.93	$3.06
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $46.83 / $335.95	Facility		$11.39	$46.83	$335.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $7.35 / $10.48	Professional		$3.30	$7.35	$10.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $9.38 / $20.16	Facility		$3.07	$9.38	$20.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.60 / $6.71	Professional		$2.86	$3.60	$6.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.60 / $3.74	Professional		$2.02	$2.60	$3.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $6,950.00 / $13,785.00	Facility		$3.08	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.08 / $3.08	Professional		$3.08	$3.08	$3.08
United Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $3.96 / $5.28	Facility		$2.42	$3.96	$5.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.64 / $6.52	Professional		$1.76	$2.64	$6.52