Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $23.99 / $75.86	Facility		$6.61	$23.99	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.37 / $37.15	Professional		$3.98	$5.37	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $8.51 / $10.23	Professional		$4.07	$8.51	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $11.48 / $24.55	Facility		$5.25	$11.48	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.25 / $8.32	Professional		$3.55	$5.25	$8.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.69 / $6.03	Professional		$2.14	$2.69	$6.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9,772.37 / $25,118.86	Facility		$5.37	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.13 / $6.03	Professional		$3.24	$5.13	$6.03
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $5.37 / $11.22	Facility		$2.51	$5.37	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.24 / $7.76	Professional		$2.14	$3.24	$7.76