Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $17.61 / $78.95	Facility		$4.91	$17.61	$78.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.84 / $5.11	Professional		$3.30	$3.84	$5.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.56 / $2.97	Professional		$2.14	$2.56	$2.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $60.20 / $1,316.24	Facility		$11.55	$60.20	$1,316.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $8.14 / $13.22	Professional		$3.20	$8.14	$13.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $9.38 / $19.57	Facility		$2.98	$9.38	$19.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.22 / $6.20	Professional		$2.79	$4.22	$6.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.52 / $3.43	Professional		$1.96	$2.52	$3.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $8,702.00 / $13,785.00	Facility		$2.99	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $2.99 / $4.09	Professional		$2.99	$2.99	$4.09
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $4.26 / $8.76	Facility		$2.00	$4.26	$8.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.56 / $6.35	Professional		$1.79	$2.56	$6.35