Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $33.22 / $56.19	Facility		$23.64	$33.22	$56.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $21.94 / $63.54	Professional		$17.45	$21.94	$63.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $24.60 / $24.60	Professional		$24.60	$24.60	$24.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $51.08 / $309.00	Facility		$19.53	$51.08	$309.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $32.08 / $107.54	Professional		$14.05	$32.08	$107.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $27.61 / $36.15	Professional		$21.47	$27.61	$36.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $301.83 / $556.20	Facility		$252.90	$301.83	$556.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.07 / $90.25	Professional		$15.56	$19.07	$90.25
United Facility/Professional Facility Modifier Low / Median / High Price $248.64 / $449.58 / $542.10	Facility		$248.64	$449.58	$542.10
United Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $24.81 / $72.12	Professional		$14.54	$24.81	$72.12