Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $36.31	Professional		$14.13	$14.13	$36.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.36	Professional		$26.30	$26.30	$32.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $77.62 / $77.62	Facility		$21.38	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $11.75	Professional		$8.32	$8.32	$11.75