Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $36.31 / $134.90	Facility		$18.62	$36.31	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $21.88	Professional		$14.13	$16.22	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $12.88	Professional		$11.48	$11.48	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $40.74 / $85.11	Facility		$18.20	$40.74	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.20 / $28.18	Professional		$12.30	$18.20	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $21.38	Professional		$7.59	$9.33	$21.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $10,471.29 / $25,118.86	Facility		$18.62	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $20.89	Professional		$16.60	$17.38	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.62 / $38.90	Facility		$8.71	$18.62	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.22 / $27.54	Professional		$7.59	$11.22	$27.54