Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $104.67 / $123.82	Facility		$104.67	$104.67	$123.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $104.67 / $104.67	Professional		$104.67	$104.67	$104.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $115.62 / $120.21	Professional		$115.62	$115.62	$120.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $115.07 / $119.46	Facility		$92.31	$115.07	$119.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.51 / $8,702.00 / $13,785.00	Facility		$112.51	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $106.59 / $106.59	Professional		$103.50	$106.59	$106.59
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $116.10 / $125.90	Professional		$102.74	$116.10	$125.90