Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,096.48 / $2,570.40	Facility		$107.15	$1,096.48	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $257.04	Professional		$120.23	$165.96	$257.04
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $181.97	Professional		$134.90	$162.18	$181.97
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $144.54 / $173.78	Professional	25	$138.04	$144.54	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $398.11	Professional		$72.44	$123.03	$398.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $239.88	Professional		$134.90	$165.96	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $151.36 / $194.98	Facility		$144.54	$151.36	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $263.03	Professional		$109.65	$151.36	$263.03