Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $32.36	Professional		$15.85	$19.95	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $52.48	Professional		$13.18	$19.05	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $295.12 / $354.81	Facility		$31.62	$295.12	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $48.98	Professional		$17.78	$27.54	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $44.67	Professional		$26.30	$31.62	$44.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $660.69	Facility		$269.15	$416.87	$660.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $44.67	Professional		$15.14	$23.44	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $562.34	Facility		$257.04	$467.74	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $37.15	Professional		$15.49	$20.89	$37.15