Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $26.17 / $170.17	Facility		$13.41	$26.17	$170.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $13.42 / $20.75	Professional		$12.87	$13.42	$20.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $38.25 / $79.45	Facility		$12.12	$38.25	$79.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.21 / $25.30	Professional		$11.12	$14.21	$25.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.53 / $13.87	Professional		$6.94	$9.53	$13.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $7,628.00 / $13,785.00	Facility		$12.14	$7,628.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $15.93	Professional		$12.14	$12.14	$15.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.40 / $25.68	Professional		$7.28	$10.40	$25.68