Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $8.51 / $239.88	Facility		$3.47	$8.51	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $6.46	Professional		$2.00	$2.00	$6.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.57	Professional		$2.04	$2.04	$2.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $23.99 / $154.88	Facility		$4.90	$23.99	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.82 / $3.63	Facility		$2.24	$2.82	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $11,481.54 / $25,703.96	Facility		$6.76	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.51	Professional		$2.40	$2.40	$2.51
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.90 / $5.01	Facility		$3.63	$4.90	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.69	Professional		$2.40	$2.40	$2.69