Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $58.88 / $151.36	Professional		$23.99	$58.88	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $56.23	Professional		$53.70	$53.70	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $57.54	Professional		$38.02	$38.02	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $102.33	Professional		$45.71	$74.13	$102.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $45.71	Professional		$30.20	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $41.69 / $70.79	Facility		$23.99	$41.69	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $57.54	Professional		$31.62	$34.67	$57.54