Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $257.99 / $391.76	Facility		$139.66	$257.99	$391.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Professional		$257.99	$257.99	$257.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Professional		$257.99	$257.99	$257.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,008.95 / $1,008.95 / $1,008.95	Facility		$1,008.95	$1,008.95	$1,008.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $264.92 / $264.92 / $264.92	Professional		$264.92	$264.92	$264.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.96 / $271.72 / $298.89	Facility		$230.96	$271.72	$298.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $13,785.00 / $13,785.00	Facility		$257.99	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.41 / $244.41 / $244.41	Professional		$244.41	$244.41	$244.41
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $271.57 / $304.43	Professional		$257.99	$271.57	$304.43