Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $77.62 / $120.23	Facility		$52.48	$77.62	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $112.20	Professional		$58.88	$81.28	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $89.13	Professional		$63.10	$74.13	$89.13
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	25	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $218.78	Professional		$44.67	$66.07	$218.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $131.83	Professional		$75.86	$91.20	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $104.71	Facility		$63.10	$75.86	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $141.25	Professional		$47.86	$77.62	$141.25