Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $10.78 / $33.43	Facility		$4.30	$10.78	$33.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.99 / $9.94	Professional		$4.13	$4.99	$9.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.34 / $3.34	Professional		$3.34	$3.34	$3.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $10.64	Professional		$9.05	$9.05	$10.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $12.27 / $25.52	Facility		$3.90	$12.27	$25.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.66 / $7.74	Professional		$3.64	$4.66	$7.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.06 / $4.46	Professional		$2.23	$3.06	$4.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $8,702.00 / $13,785.00	Facility		$3.90	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $5.12	Professional		$3.90	$3.90	$5.12
United Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.34 / $7.79	Professional		$2.34	$3.34	$7.79