Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $22.07 / $35.24	Facility		$22.07	$22.07	$35.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $22.07	Professional		$22.07	$22.07	$22.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $21.86 / $21.86	Professional		$21.86	$21.86	$21.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $26.48	Professional		$16.32	$16.32	$26.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $19.86 / $21.82	Facility		$15.34	$19.86	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $21.82 / $21.82	Professional		$9.35	$21.82	$21.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $13,785.00 / $13,785.00	Facility		$21.86	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $20.71 / $20.71	Professional		$18.23	$20.71	$20.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $19.72 / $23.98	Professional		$19.72	$19.72	$23.98