Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $25.20 / $82.14	Facility		$5.60	$25.20	$82.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.99 / $9.92	Professional		$4.26	$4.99	$9.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $3.83	Professional		$3.36	$3.36	$3.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $194.53 / $293.58	Facility		$113.10	$194.53	$293.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $10.50 / $28.00	Professional		$9.00	$10.50	$28.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $12.27 / $25.66	Facility		$3.92	$12.27	$25.66
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 $2.58 / $3.08 / $4.48	Professional		$2.58	$3.08	$4.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $13,785.00 / $13,785.00	Facility		$3.92	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $5.29	Professional		$3.92	$3.92	$5.29
United Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.08 / $3.08	Facility		$3.08	$3.08	$3.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.36 / $8.18	Professional		$2.35	$3.36	$8.18