Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $31.67 / $59.04	Facility		$31.67	$31.67	$59.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $31.67 / $31.67	Professional		$31.67	$31.67	$31.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $31.67 / $31.67	Professional		$31.67	$31.67	$31.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $32.76 / $34.77	Facility		$26.87	$32.76	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $32.76 / $32.76	Professional		$16.20	$32.76	$32.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $13,785.00 / $13,785.00	Facility		$31.67	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $30.00 / $30.77	Professional		$29.04	$30.00	$30.77
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $32.19 / $35.82	Professional		$29.26	$32.19	$35.82