Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $23.34 / $231.96	Facility		$23.33	$23.34	$231.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $29.64 / $50.30	Professional		$21.04	$29.64	$50.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $18.71 / $18.71	Professional		$18.71	$18.71	$18.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.17 / $72.55 / $114.14	Facility		$59.17	$72.55	$114.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $38.04 / $60.72	Professional		$24.04	$38.04	$60.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $43.74 / $59.81	Professional		$35.51	$43.74	$59.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.52 / $258.52 / $493.06	Facility		$215.52	$258.52	$493.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $29.58 / $43.82	Professional		$25.14	$29.58	$43.82
United Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $168.12 / $272.43	Facility		$143.22	$168.12	$272.43
United Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $30.91 / $54.70	Professional		$21.50	$30.91	$54.70