Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $52.48 / $61.66	Facility		$25.70	$52.48	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $147.91	Professional		$39.81	$52.48	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $38.90	Professional		$31.62	$37.15	$38.90
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $43.65 / $51.29	Facility		$39.81	$43.65	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $43.65	Professional		$28.18	$43.65	$43.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $10,471.29 / $25,118.86	Facility		$102.33	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $46.77	Professional		$39.81	$42.66	$46.77