Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $18.20 / $79.43	Facility		$5.13	$18.20	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $12.02	Professional		$3.02	$3.89	$12.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.95 / $8.13	Professional		$2.57	$2.95	$8.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $72.44 / $112.20	Facility		$45.71	$72.44	$112.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $8.13 / $13.49	Professional		$3.24	$8.13	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $9.33 / $19.50	Facility		$4.17	$9.33	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.68 / $6.76	Professional		$2.82	$4.68	$6.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.14 / $4.79	Professional		$1.70	$2.14	$4.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $10,471.29 / $25,118.86	Facility		$4.27	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $4.79	Professional		$3.02	$3.89	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $4.27 / $8.91	Facility		$2.00	$4.27	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.57 / $6.17	Professional		$1.70	$2.57	$6.17