Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $51.23 / $189.39	Facility		$26.27	$51.23	$189.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.85 / $39.65	Professional		$25.20	$28.85	$39.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $23.57	Professional		$23.57	$23.57	$23.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $75.06 / $155.52	Facility		$23.72	$75.06	$155.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $27.78 / $49.04	Professional		$21.77	$27.78	$49.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $20.02 / $33.94	Professional		$15.61	$20.02	$33.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $8,702.00 / $13,785.00	Facility		$23.76	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $23.76 / $30.83	Professional		$23.76	$23.76	$30.83
United Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $20.36 / $47.43	Professional		$13.58	$20.36	$47.43