Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $12.88 / $16.98	Facility		$2.82	$12.88	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $25.12	Professional		$8.91	$12.88	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $13.49	Professional		$8.91	$10.96	$13.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $12.02 / $21.88	Professional		$3.39	$12.02	$21.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $28.84	Professional		$21.88	$23.44	$28.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $22.91	Professional		$12.30	$16.22	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $12.88 / $16.98	Facility		$4.27	$12.88	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $13.80 / $23.99	Professional		$5.62	$13.80	$23.99