Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $41.07 / $89.71	Facility		$6.20	$41.07	$89.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.82 / $6.20	Professional		$3.99	$4.82	$6.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.74	Professional		$2.57	$2.57	$3.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $67.06 / $2,374.14	Facility		$16.23	$67.06	$2,374.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $7.36 / $10.24	Professional		$4.04	$7.36	$10.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $11.55 / $24.70	Facility		$3.76	$11.55	$24.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.45 / $7.74	Professional		$3.50	$4.45	$7.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.18 / $4.74	Professional		$2.48	$3.18	$4.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $256.30 / $13,785.00	Facility		$3.77	$256.30	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $3.77 / $5.63	Professional		$3.77	$3.77	$5.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.23 / $7.98	Professional		$2.16	$3.23	$7.98