Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $31.20 / $45.11	Facility		$18.89	$31.20	$45.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $31.20	Professional		$31.20	$31.20	$31.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $28.05 / $28.05	Professional		$28.05	$28.05	$28.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $33.14 / $35.68	Facility		$27.57	$33.14	$35.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $33.14 / $33.14	Professional		$25.64	$33.14	$33.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $31.55 / $31.55	Professional		$31.13	$31.55	$31.55
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $32.99 / $36.59	Professional		$29.99	$32.99	$36.59