Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $335.55 / $501.69	Facility		$129.86	$335.55	$501.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.55 / $335.55 / $335.55	Professional		$335.55	$335.55	$335.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $295.18 / $295.18	Professional		$295.18	$295.18	$295.18
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $350.35 / $350.35 / $714.00	Facility		$350.35	$350.35	$714.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $359.90 / $385.04	Professional		$359.90	$359.90	$385.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.14 / $354.77 / $368.58	Facility		$274.14	$354.77	$368.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
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 $310.39 / $332.08 / $332.08	Professional		$310.39	$332.08	$332.08
United Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $362.00 / $403.28	Professional		$329.09	$362.00	$403.28