Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $16.78 / $537.54	Facility		$4.01	$16.78	$537.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.40 / $6.04	Professional		$3.84	$4.40	$6.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $143.55 / $143.55 / $143.55	Facility		$143.55	$143.55	$143.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $8.58	Professional		$3.89	$3.89	$8.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $11.55 / $23.74	Facility		$3.62	$11.55	$23.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.24 / $7.23	Professional		$3.34	$4.24	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.85 / $4.13	Professional		$2.06	$2.85	$4.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $8,702.00 / $13,785.00	Facility		$3.63	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.76	Professional		$3.63	$3.63	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.11 / $6.30	Professional		$2.18	$3.11	$6.30