Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $16.91 / $42.60	Facility		$0.94	$16.91	$42.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.94 / $1.56	Professional		$0.94	$0.94	$1.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.56 / $1.56	Professional		$1.56	$1.56	$1.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $905.94 / $2,184.05	Facility		$1.22	$905.94	$2,184.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.05 / $1.35	Facility		$0.89	$1.05	$1.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.94 / $0.98	Professional		$0.94	$0.94	$0.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.02 / $1.14	Professional		$0.98	$1.02	$1.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $13,785.00 / $13,785.00	Facility		$1.07	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.11 / $1.35	Professional		$0.94	$1.11	$1.35
United Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.00 / $3.85	Professional		$0.94	$1.00	$3.85