Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.78 / $45.71	Facility		$10.96	$17.78	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $33.88 / $54.95	Professional		$14.13	$33.88	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $23.99	Professional		$10.96	$12.88	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.79 / $17.38	Facility		$13.49	$14.79	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $26.92	Professional		$14.79	$14.79	$26.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $11,481.54 / $25,703.96	Facility		$34.67	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $16.60	Professional		$13.49	$15.14	$16.60