Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $85.06 / $532.95	Facility		$28.95	$85.06	$532.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $55.73 / $85.06	Professional		$24.37	$55.73	$85.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Professional		$75.06	$75.06	$75.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $42.21	Facility		$42.21	$42.21	$42.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $81.18 / $160.03	Professional		$30.66	$81.18	$160.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $127.96 / $166.58	Professional		$96.29	$127.96	$166.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $144.41 / $293.31	Facility		$139.08	$144.41	$293.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $87.93 / $141.47	Professional		$61.23	$87.93	$141.47
United Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $86.33 / $155.97	Professional		$62.65	$86.33	$155.97