Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $125.89	Professional		$57.54	$83.18	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $245.47	Professional		$8.91	$8.91	$245.47
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $141.25	Professional		$120.23	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $323.59 / $331.13	Professional		$144.54	$323.59	$331.13