Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $123.03	Facility		$109.65	$109.65	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $316.23	Professional		$114.82	$190.55	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $213.80	Professional		$151.36	$151.36	$213.80
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $446.68	Professional		$165.96	$213.80	$446.68