Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $30.87 / $67.16	Facility		$24.50	$30.87	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.74	Professional		$24.50	$24.50	$24.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $6.10 / $6.10	Facility		$6.10	$6.10	$6.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $6.17 / $24.50	Facility		$4.90	$6.17	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $57.51 / $13,785.00	Facility		$25.02	$57.51	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $25.43 / $25.43	Professional		$4.11	$25.43	$25.43
United Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $24.50 / $25.85	Professional		$21.72	$24.50	$25.85