Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $223.87 / $562.34	Facility		$109.65	$223.87	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $204.17	Professional		$51.29	$79.43	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $58.88	Professional		$46.77	$50.12	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $501.19	Facility		$109.65	$234.42	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $112.20	Professional		$104.71	$104.71	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $9,772.37 / $14,791.08	Facility		$309.03	$9,772.37	$14,791.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $107.15	Professional		$74.13	$93.33	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $234.42	Facility		$125.89	$151.36	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $79.43	Professional		$30.20	$56.23	$79.43