Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $57.16 / $261.52	Facility		$19.32	$57.16	$261.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $22.25 / $32.58	Professional		$18.53	$22.25	$32.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $92.38 / $191.40	Facility		$29.19	$92.38	$191.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.36 / $59.89	Professional		$16.30	$20.36	$59.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $22.97 / $28.19	Professional		$16.71	$22.97	$28.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $8,702.00 / $13,785.00	Facility		$29.24	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $29.24 / $29.24	Professional		$27.90	$29.24	$29.24
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $25.06 / $37.36	Professional		$16.17	$25.06	$37.36