Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $22.60 / $43.99	Facility		$15.31	$22.60	$43.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.12	Professional		$0.08	$0.08	$0.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $258.42 / $1,292.09	Facility		$0.11	$258.42	$1,292.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.10 / $0.30	Facility		$0.08	$0.10	$0.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.11	Professional		$0.09	$0.09	$0.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $13,785.00 / $13,785.00	Facility		$0.05	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.09 / $0.09	Professional		$0.05	$0.09	$0.09
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $2.67	Professional		$0.08	$0.08	$2.67