Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $24.08 / $91.01	Facility		$5.54	$24.08	$91.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.65 / $9.24	Professional		$4.04	$4.65	$9.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.11 / $3.11	Professional		$2.59	$3.11	$3.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $44.20 / $1,154.67	Facility		$13.92	$44.20	$1,154.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
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 $3.38 / $5.12 / $8.52	Professional		$3.38	$5.12	$8.52
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 / $13,785.00 / $13,785.00	Facility		$3.63	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.42	Professional		$3.63	$3.63	$5.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.11 / $5.87	Professional		$2.18	$3.11	$5.87