Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.40 / $11.88	Facility		$0.19	$0.40	$11.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.40	Professional		$0.19	$0.19	$0.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $258.00 / $1,166.42	Facility		$0.30	$258.00	$1,166.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.43 / $0.55	Facility		$0.18	$0.43	$0.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.20	Professional		$0.18	$0.18	$0.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.24	Professional		$0.19	$0.19	$0.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $13,785.00 / $13,785.00	Facility		$0.26	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.28 / $0.46	Professional		$0.26	$0.28	$0.46
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $4.12	Professional		$0.19	$0.20	$4.12