Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $9.33 / $618.07	Facility		$0.63	$9.33	$618.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.36 / $1.30	Professional		$0.35	$0.36	$1.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.00 / $54.00	Professional		$36.00	$45.00	$54.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $30.94 / $604.79	Facility		$2.40	$30.94	$604.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.09 / $1.14	Professional		$0.92	$1.09	$1.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $1.40 / $21.64	Facility		$0.34	$1.40	$21.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.39	Professional		$0.34	$0.34	$0.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.49	Professional		$0.34	$0.34	$0.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $13,785.00 / $13,785.00	Facility		$0.50	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.63 / $1.03	Professional		$0.54	$0.63	$1.03
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.38 / $0.48	Professional		$0.36	$0.38	$0.48