Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $91.20	Professional		$47.86	$63.10	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $79.43 / $79.43 / $93.33	Professional	25	$79.43	$79.43	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Facility		$77.62	$77.62	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $162.18	Professional		$56.23	$70.79	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $147.91	Professional		$66.07	$77.62	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $138.04	Professional		$53.70	$85.11	$138.04