Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $57.54 / $239.88	Facility		$32.36	$57.54	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $45.71	Professional		$18.20	$21.88	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $56.23 / $117.49	Facility		$25.12	$56.23	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $38.90	Professional		$16.22	$24.55	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $28.18	Professional		$10.23	$12.88	$28.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $10,471.29 / $25,118.86	Facility		$25.70	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $28.18	Professional		$22.39	$22.91	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $52.48	Facility		$12.02	$25.70	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $36.31	Professional		$10.23	$15.49	$36.31