Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $40.72 / $61.81	Facility		$12.89	$40.72	$61.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $40.72	Professional		$40.72	$40.72	$40.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $37.44 / $37.44	Professional		$37.44	$37.44	$37.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $75.34	Facility		$75.34	$75.34	$75.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $46.13	Professional		$45.85	$45.85	$46.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $43.83 / $46.00	Facility		$35.54	$43.83	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $43.83 / $43.83	Professional		$28.47	$43.83	$43.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $41.81 / $41.81	Professional		$39.74	$41.81	$41.81
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $41.74 / $45.19	Professional		$39.56	$41.74	$45.19