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 $5.89 / $6.88 / $11.16	Professional		$5.89	$6.88	$11.16
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $31.49 / $31.87	Professional		$26.05	$31.49	$31.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $17.50 / $75.76	Facility		$17.50	$17.50	$75.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $25.09 / $31.36	Professional		$22.77	$25.09	$31.36
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 $18.54 / $19.88 / $8,702.00	Facility		$18.54	$19.88	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $18.82	Professional		$11.04	$11.04	$18.82
United Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $15.02 / $31.59	Professional		$10.05	$15.02	$31.59