Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $213.80 / $977.24	Facility		$66.07	$213.80	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $794.33	Professional		$95.50	$120.23	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $316.23 / $4,677.35	Facility		$131.83	$316.23	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $346.74	Professional		$295.12	$295.12	$346.74