Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,691.53 / $10,000.00	Facility		$69.18	$2,691.53	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $40.74 / $144.54	Professional		$12.02	$40.74	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $38.90	Professional		$16.60	$19.50	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $36.31 / $87.10	Professional		$13.80	$36.31	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $74.13	Professional		$50.12	$69.18	$74.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $91.20	Professional		$34.67	$42.66	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $31.62 / $56.23	Professional		$16.22	$31.62	$56.23