Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $28.71 / $58.63	Facility		$18.16	$28.71	$58.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Professional		$23.22	$23.22	$23.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Professional		$23.22	$23.22	$23.22
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $44.53 / $98.50	Facility		$26.94	$44.53	$98.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $26.73 / $27.49	Professional		$26.73	$26.73	$27.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $21.53 / $22.95	Facility		$16.63	$21.53	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $22.95 / $22.95	Professional		$14.21	$22.95	$22.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $13,785.00 / $13,785.00	Facility		$22.35	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.17 / $21.17	Professional		$19.05	$21.17	$21.17
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $22.02 / $25.14	Professional		$20.87	$22.02	$25.14