Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.53 / $364.25 / $633.86	Facility		$92.53	$364.25	$633.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $102.63 / $148.38	Professional		$67.98	$102.63	$148.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $64.15 / $64.15	Professional		$64.15	$64.15	$64.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.77 / $282.92 / $587.87	Facility		$125.77	$282.92	$587.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $159.33 / $358.23	Professional		$93.45	$159.33	$358.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $134.69 / $186.02	Professional		$89.80	$134.69	$186.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $13,785.00 / $13,785.00	Facility		$89.80	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $89.80 / $89.80	Professional		$89.80	$89.80	$89.80
United Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Facility		$70.56	$70.56	$70.56
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $76.97 / $189.24	Professional		$53.88	$76.97	$189.24