Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $64.08 / $331.05	Facility		$4.50	$64.08	$331.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.67 / $2.99	Professional		$2.31	$2.67	$2.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.79 / $2.08	Professional		$1.79	$1.79	$2.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $122.45 / $955.05	Facility		$16.18	$122.45	$955.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $5.01 / $9.00	Professional		$2.24	$5.01	$9.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $6.50 / $13.70	Facility		$2.09	$6.50	$13.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.54 / $4.13	Professional		$1.91	$2.54	$4.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.76 / $2.99	Professional		$1.38	$1.76	$2.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $556.20 / $13,785.00	Facility		$2.09	$556.20	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $3.13	Professional		$2.09	$2.09	$3.13
United Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Facility		$1.64	$1.64	$1.64
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.79 / $4.43	Professional		$1.26	$1.79	$4.43