Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $86.57 / $151.94	Facility		$11.60	$86.57	$151.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Professional		$70.38	$70.38	$70.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Professional		$70.38	$70.38	$70.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $84.49	Professional		$80.51	$80.51	$84.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $80.88 / $81.65	Facility		$63.10	$80.88	$81.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $80.88 / $80.88	Professional		$64.04	$80.88	$80.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $8,702.00 / $13,785.00	Facility		$70.38	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $66.67 / $76.04	Professional		$66.67	$66.67	$76.04
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $81.62 / $86.54	Professional		$72.23	$81.62	$86.54