Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $37.36 / $92.53	Facility		$27.85	$37.36	$92.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $28.12	Professional		$27.85	$27.85	$28.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $26.50	Professional		$26.50	$26.50	$26.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $37.54 / $48.60	Facility		$27.85	$37.54	$48.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $1,165.00 / $13,785.00	Facility		$24.94	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $22.14 / $32.86	Professional		$22.14	$22.14	$32.86
United Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $111.79 / $114.43	Facility		$24.94	$111.79	$114.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $31.00 / $86.02	Professional		$27.85	$31.00	$86.02