Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $128.82 / $251.19	Facility		$16.60	$128.82	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $489.78	Professional		$85.11	$199.53	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $208.93	Professional		$147.91	$147.91	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $204.17	Facility		$117.49	$181.97	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $11,481.54 / $25,118.86	Facility		$194.98	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $194.98	Professional		$162.18	$173.78	$194.98