Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $37.96 / $54.75	Facility		$28.50	$37.96	$54.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $38.99 / $54.64	Professional		$27.15	$38.99	$54.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $67.13 / $67.13	Professional		$67.13	$67.13	$67.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $52.32 / $87.75	Professional		$34.63	$52.32	$87.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $91.97 / $91.97	Professional		$91.97	$91.97	$91.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $216.59 / $487.65	Facility		$187.47	$216.59	$487.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $47.69 / $71.54	Professional		$40.54	$47.69	$71.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $49.90 / $90.70	Professional		$35.81	$49.90	$90.70