Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $8.25 / $34.46	Facility		$3.30	$8.25	$34.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.87 / $6.40	Professional		$3.30	$3.87	$6.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $3.64	Professional		$3.14	$3.14	$3.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $47.51 / $1,210.01	Facility		$11.25	$47.51	$1,210.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $8.14 / $8.14	Professional		$3.20	$8.14	$8.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $12.99 / $26.67	Facility		$4.07	$12.99	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.99 / $8.26	Professional		$2.79	$4.99	$8.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.43 / $4.82	Professional		$2.68	$3.43	$4.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $13,785.00 / $13,785.00	Facility		$4.07	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.09	Professional		$4.07	$4.07	$4.09
United Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $4.07 / $5.96	Professional		$2.47	$4.07	$5.96