Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $79.22 / $331.07	Facility		$49.84	$79.22	$331.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $50.24 / $77.04	Professional		$46.71	$50.24	$77.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $44.73	Professional		$44.73	$44.73	$44.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $142.18 / $295.14	Facility		$45.57	$142.18	$295.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $55.56 / $87.82	Professional		$41.31	$55.56	$87.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $38.00 / $64.41	Professional		$29.63	$38.00	$64.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $8,702.00 / $13,785.00	Facility		$45.09	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $45.09 / $45.09	Professional		$45.09	$45.09	$45.09
United Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $35.43 / $35.43	Facility		$35.43	$35.43	$35.43
United Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $38.65 / $73.00	Professional		$24.94	$38.65	$73.00