Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $4,677.35 / $10,715.19	Facility		$112.20	$4,677.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $181.97	Professional		$21.88	$46.77	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	50	$46.77	$46.77	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $52.48	Professional		$19.05	$28.18	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $43.65 / $93.33	Professional		$23.44	$43.65	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $72.44	Professional		$46.77	$64.57	$72.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $302.00	Facility		$120.23	$190.55	$302.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $74.13	Professional		$19.95	$44.67	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.20 / $74.13	Professional		$14.13	$30.20	$74.13