Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.07 / $69.18	Facility		$43.65	$66.07	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $245.47	Professional		$66.07	$83.18	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $72.44	Professional		$51.29	$60.26	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $70.79 / $83.18	Facility		$64.57	$70.79	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $10,715.19 / $25,118.86	Facility		$165.96	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $79.43	Professional		$64.57	$70.79	$79.43