Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $34.13 / $112.57	Facility		$13.65	$34.13	$112.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $15.79 / $21.11	Professional		$13.10	$15.79	$21.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Professional		$10.95	$10.95	$10.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $48.36 / $100.35	Facility		$15.30	$48.36	$100.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $14.42 / $31.49	Professional		$11.52	$14.42	$31.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.05 / $17.52	Professional		$8.76	$12.05	$17.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $8,702.00 / $13,785.00	Facility		$15.33	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $18.48	Professional		$15.33	$15.33	$18.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $13.14 / $22.34	Professional		$8.48	$13.14	$22.34