Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $20.89 / $21.88	Professional		$5.89	$20.89	$21.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $28.84 / $29.51	Professional		$7.59	$28.84	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $22.91	Professional		$16.60	$20.42	$22.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $10,471.29 / $25,703.96	Facility		$28.18	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $18.62	Professional		$8.13	$8.13	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.49 / $69.18	Facility		$8.32	$15.49	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $27.54	Professional		$10.72	$15.49	$27.54