Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $151.36 / $263.03	Facility		$52.48	$151.36	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $323.59	Professional		$63.10	$128.82	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $199.53	Professional		$100.00	$112.20	$199.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $120.23 / $245.47	Facility		$89.13	$120.23	$245.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $245.47	Professional		$41.69	$104.71	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $295.12	Facility		$213.80	$213.80	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $323.59	Professional		$102.33	$186.21	$323.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $234.42 / $10,471.29	Facility		$47.86	$234.42	$10,471.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $251.19	Professional		$95.50	$117.49	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $229.09	Facility		$120.23	$144.54	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $263.03	Professional		$97.72	$154.88	$263.03