Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $25.92 / $85.88	Facility		$7.01	$25.92	$85.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.64 / $6.48	Professional		$4.80	$5.64	$6.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $3.24 / $4.50	Professional		$1.94	$3.24	$4.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $91.80 / $745.20	Facility		$16.67	$91.80	$745.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $10.61 / $11.75	Professional		$4.86	$10.61	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $14.43 / $29.69	Facility		$4.53	$14.43	$29.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $7.43 / $13.29	Professional		$4.23	$7.43	$13.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.82 / $5.18	Professional		$2.98	$3.82	$5.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $13,785.00 / $13,785.00	Facility		$4.54	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $6.22	Professional		$4.54	$4.54	$6.22
United Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Facility		$2.17	$2.17	$2.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.89 / $9.06	Professional		$2.72	$3.89	$9.06