Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $14.05 / $42.00	Facility		$11.03	$14.05	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Professional		$14.05	$14.05	$14.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $12.52	Professional		$12.52	$12.52	$12.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $20.17 / $20.17	Professional		$20.17	$20.17	$20.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $14.75 / $15.84	Facility		$12.24	$14.75	$15.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $27.04	Professional		$14.75	$14.75	$27.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $13,785.00 / $13,785.00	Facility		$14.87	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.09 / $14.09	Professional		$14.05	$14.09	$14.09
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $14.02 / $15.79	Professional		$13.29	$14.02	$15.79