Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $12,589.25	Facility		$19.95	$29.51	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.89	Professional		$15.14	$15.14	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $23.44	Facility		$15.14	$18.20	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $9,549.93 / $25,118.86	Facility		$31.62	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.05 / $31.62	Facility		$13.49	$19.05	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $17.78	Professional		$15.49	$15.49	$17.78