Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.84 / $776.25	Facility		$19.05	$28.84	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $28.18	Professional		$16.98	$19.05	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $38.90	Professional		$19.05	$33.88	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $104.71	Professional		$22.91	$30.90	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
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 $32.36 / $42.66 / $91.20	Professional		$32.36	$42.66	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.11 / $40.74	Facility		$28.18	$33.11	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $91.20	Professional		$35.48	$51.29	$91.20