Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.92 / $195.83 / $284.22	Facility		$73.92	$195.83	$284.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $195.83 / $195.83	Professional		$195.83	$195.83	$195.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $175.56 / $175.56	Professional		$175.56	$175.56	$175.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $146.10 / $146.10 / $146.10	Facility		$146.10	$146.10	$146.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $214.11 / $214.11 / $214.11	Professional		$214.11	$214.11	$214.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $211.19 / $215.17	Facility		$163.19	$211.19	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $215.17 / $215.17	Professional		$71.43	$215.17	$215.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.48 / $8,702.00 / $13,785.00	Facility		$208.48	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.14 / $197.51 / $197.51	Professional		$188.14	$197.51	$197.51
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $202.69 / $230.39	Professional		$192.12	$202.69	$230.39