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 $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $30.20	Professional		$22.91	$23.99	$30.20
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 $12.59 / $14.13 / $17.38	Professional		$12.59	$14.13	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.60 / $70.79	Facility		$8.32	$16.60	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $29.51	Professional		$10.72	$15.49	$29.51