Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $467.74 / $933.25	Facility		$48.98	$467.74	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $46.77 / $120.23	Professional		$23.99	$46.77	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $48.98	Professional		$20.89	$32.36	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $34.67 / $83.18	Professional		$14.79	$34.67	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $77.62	Professional		$52.48	$70.79	$77.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,041.74	Facility		$831.76	$1,288.25	$2,041.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $95.50	Professional		$39.81	$47.86	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $1,698.24	Facility		$776.25	$1,412.54	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $57.54	Professional		$19.05	$31.62	$57.54