Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.29 / $86.65 / $440.72	Facility		$56.29	$86.65	$440.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $44.04 / $96.58	Facility		$34.03	$44.04	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $96.58 / $96.58	Professional		$27.48	$96.58	$96.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $13,785.00 / $13,785.00	Facility		$83.49	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $79.09 / $79.09	Professional		$40.61	$79.09	$79.09
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $103.33 / $120.29	Professional		$98.16	$103.33	$120.29