Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.04 / $98.16 / $150.47	Facility		$62.04	$98.16	$150.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $291.55 / $291.55 / $291.55	Facility		$291.55	$291.55	$291.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $62.81 / $96.58	Facility		$53.39	$62.81	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $79.09 / $79.09	Professional		$53.27	$79.09	$79.09
United Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Facility		$83.49	$83.49	$83.49
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $94.85 / $103.33	Professional		$86.23	$94.85	$103.33