Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.12 / $312.89 / $666.78	Facility		$170.12	$312.89	$666.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $312.89	Professional		$312.89	$312.89	$312.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $312.89	Professional		$150.00	$150.00	$312.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $295.68 / $842.18 / $2,030.33	Facility		$295.68	$842.18	$2,030.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $321.27 / $321.27	Professional		$321.27	$321.27	$321.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.98 / $298.80 / $328.68	Facility		$253.98	$298.80	$328.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $307.55 / $307.55	Professional		$206.08	$307.55	$307.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $13,785.00 / $13,785.00	Facility		$312.89	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.43 / $296.43 / $296.43	Professional		$296.43	$296.43	$296.43
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $302.06 / $336.51	Professional		$274.60	$302.06	$336.51