Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $100.14 / $169.89	Facility		$16.11	$100.14	$169.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $100.14 / $100.14	Professional		$100.14	$100.14	$100.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $91.03 / $91.03	Professional		$91.03	$91.03	$91.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $111.38 / $111.38	Professional		$111.38	$111.38	$111.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $106.62 / $115.25	Facility		$89.05	$106.62	$115.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $106.62 / $106.62	Professional		$45.48	$106.62	$106.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $13,785.00 / $13,785.00	Facility		$108.10	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $102.41 / $102.41	Professional		$96.65	$102.41	$102.41
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $106.26 / $118.35	Professional		$96.60	$106.26	$118.35