Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $47.64 / $66.11	Facility		$1.22	$47.64	$66.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $47.64 / $47.64	Professional		$47.64	$47.64	$47.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $42.82 / $42.82	Professional		$42.82	$42.82	$42.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $52.33	Professional		$52.33	$52.33	$52.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.46 / $50.10 / $53.66	Facility		$41.46	$50.10	$53.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $50.10 / $50.10	Professional		$23.75	$50.10	$50.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $13,785.00 / $13,785.00	Facility		$50.85	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $48.18 / $48.18	Professional		$43.77	$48.18	$48.18
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $54.81	Professional		$44.73	$44.73	$54.81