Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $776.25	Facility		$32.36	$48.98	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $501.19	Professional		$15.85	$22.91	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $67.61 / $645.65	Professional		$10.23	$67.61	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $630.96	Professional		$426.58	$575.44	$630.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $1,000.00	Facility		$407.38	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $630.96	Professional		$190.55	$295.12	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $831.76	Facility		$389.05	$691.83	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $67.61 / $371.54	Professional		$12.02	$67.61	$371.54