Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $35.48 / $85.11	Facility		$20.89	$35.48	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $75.86	Professional		$16.98	$26.92	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $30.20	Professional		$18.62	$23.44	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $22.91 / $26.92	Facility		$20.89	$22.91	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $22.91	Professional		$14.13	$22.91	$22.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $10,715.19 / $25,118.86	Facility		$29.51	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $23.44 / $37.15	Facility		$11.48	$23.44	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $25.12	Professional		$20.89	$23.44	$25.12