Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $4,168.69 / $8,912.51	Facility		$39.81	$4,168.69	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $6,025.60	Professional		$30.20	$38.02	$6,025.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $38.02	Facility		$24.55	$30.20	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $9,332.54 / $25,118.86	Facility		$60.26	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $50.12 / $114.82	Facility		$27.54	$50.12	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $47.86	Professional		$31.62	$42.66	$47.86