Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $50.12 / $575.44	Facility		$22.91	$50.12	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $63.10	Professional		$19.05	$36.31	$63.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	25	$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $30.20	Professional		$20.42	$23.44	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $32.36	Facility		$28.84	$28.84	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $63.10	Professional		$19.95	$31.62	$63.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $57.54	Professional		$45.71	$48.98	$57.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $467.74	Facility		$186.21	$257.04	$467.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $61.66	Professional		$25.12	$39.81	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $57.54	Facility		$39.81	$39.81	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $51.29	Professional		$20.89	$34.67	$51.29