Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $2.95 / $10.47	Facility		$1.20	$2.95	$10.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.45 / $4.90	Professional		$1.32	$2.45	$4.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $53.70 / $85.11	Professional		$0.65	$53.70	$85.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $28.84	Facility		$1.74	$1.74	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.17 / $1.51	Facility		$0.65	$1.17	$1.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $11,481.54 / $25,118.86	Facility		$3.09	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.69 / $0.98	Professional		$0.69	$0.69	$0.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.16 / $3.24	Facility		$2.04	$3.16	$3.24
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.72	Professional		$0.65	$0.65	$0.72