Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $19.50	Professional		$5.01	$7.94	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $10.72	Professional		$6.17	$7.59	$10.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.48 / $18.20	Professional		$9.77	$11.48	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $14.79	Professional		$7.24	$8.51	$14.79