Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $25.45 / $108.27	Facility		$13.05	$25.45	$108.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.54 / $20.44	Professional		$13.05	$13.54	$20.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Professional		$10.83	$10.83	$10.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $39.70 / $82.71	Facility		$17.64	$39.70	$82.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.88 / $21.07	Professional		$10.96	$13.88	$21.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.61 / $14.44	Professional		$8.30	$10.61	$14.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $8,702.00 / $13,785.00	Facility		$12.64	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.64 / $16.59	Professional		$12.64	$12.64	$16.59
United Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Facility		$9.93	$9.93	$9.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.83 / $20.46	Professional		$7.58	$10.83	$20.46