Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $135.86 / $777.12	Facility		$51.57	$135.86	$777.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $98.21 / $115.48	Professional		$51.57	$98.21	$115.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $94.35 / $94.35	Professional		$94.35	$94.35	$94.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.93 / $299.52 / $622.55	Facility		$94.93	$299.52	$622.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $105.16 / $158.36	Professional		$87.22	$105.16	$158.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $74.72 / $108.69	Professional		$54.34	$74.72	$108.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $8,702.00 / $13,785.00	Facility		$95.10	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $95.10 / $95.10	Professional		$63.25	$95.10	$95.10
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $81.52 / $153.97	Professional		$47.55	$81.52	$153.97