Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.05	Facility		$0.02	$0.03	$0.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $18.04 / $18.04	Professional		$0.02	$18.04	$18.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $168.80 / $168.80 / $168.80	Facility		$168.80	$168.80	$168.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $24.64 / $38.50	Professional		$3.41	$24.64	$38.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $13.99 / $75.76	Facility		$13.99	$13.99	$75.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $22.77 / $24.99	Professional		$19.41	$22.77	$24.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $19.98 / $12,381.00	Facility		$14.81	$19.98	$12,381.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $6.84 / $12.13	Professional		$6.84	$6.84	$12.13
United Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $12.39 / $16.53	Facility		$8.38	$12.39	$16.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $16.42 / $29.06	Professional		$10.05	$16.42	$29.06