Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $15.32 / $69.94	Facility		$4.16	$15.32	$69.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.88 / $9.69	Professional		$4.16	$4.88	$9.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.74	Professional		$3.23	$3.23	$3.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $41.40 / $7,402.01	Facility		$10.38	$41.40	$7,402.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $8.48 / $10.24	Professional		$4.04	$8.48	$10.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $11.55 / $24.70	Facility		$3.76	$11.55	$24.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.45 / $7.74	Professional		$3.50	$4.45	$7.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.18 / $5.39	Professional		$2.48	$3.18	$5.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $6,950.00 / $13,785.00	Facility		$3.77	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $3.77 / $5.17	Professional		$3.77	$3.77	$5.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.23 / $6.11	Professional		$2.25	$3.23	$6.11