Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $55.52 / $88.61	Facility		$54.69	$55.52	$88.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $50.56 / $71.22	Professional		$42.32	$50.56	$71.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $64.98 / $64.98	Professional		$64.98	$64.98	$64.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $68.91 / $117.76	Professional		$37.40	$68.91	$117.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $73.05 / $95.69	Professional		$56.82	$73.05	$95.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $223.16 / $396.08	Facility		$180.09	$223.16	$396.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $52.28 / $85.74	Professional		$41.30	$52.28	$85.74
United Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $57.16 / $108.55	Professional		$37.22	$57.16	$108.55