Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $19.95 / $162.18	Facility		$3.55	$19.95	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $91.20	Professional		$2.00	$2.69	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Professional		$2.82	$2.82	$2.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.24 / $46.77	Facility		$2.69	$3.24	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.34 / $2.75	Professional		$2.29	$2.34	$2.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10,471.29 / $25,118.86	Facility		$4.79	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51
United Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $44.67 / $89.13	Facility		$1.82	$44.67	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.69 / $3.09	Professional		$2.51	$2.69	$3.09