Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $44.67 / $100.00	Facility		$5.37	$44.67	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.17 / $194.98	Professional		$3.02	$4.17	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $3.31	Professional		$3.16	$3.16	$3.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $31.62	Facility		$10.96	$10.96	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $7.08	Facility		$3.63	$3.63	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.55 / $4.37	Professional		$3.39	$3.55	$4.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $11,481.54 / $25,703.96	Facility		$9.12	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $7.94 / $8.13	Facility		$5.13	$7.94	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.63 / $38.90	Professional		$2.95	$3.63	$38.90