Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $24.98 / $77.40	Facility		$9.99	$24.98	$77.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.25 / $25.80	Professional		$4.32	$11.25	$25.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $8.96	Professional		$8.96	$8.96	$8.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $28.15 / $59.11	Facility		$9.02	$28.15	$59.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.60 / $18.59	Professional		$8.26	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $7.61 / $10.32	Professional		$5.93	$7.61	$10.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $8,702.00 / $13,785.00	Facility		$9.02	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $12.39	Professional		$9.02	$9.02	$12.39
United Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $8.85 / $9.19	Facility		$4.51	$8.85	$9.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.74 / $19.12	Professional		$5.25	$7.74	$19.12