Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $138.04 / $2,041.74	Facility		$56.23	$138.04	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $162.18	Professional		$89.13	$95.50	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $102.33 / $131.83	Facility		$95.50	$102.33	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $95.50	Professional		$81.28	$95.50	$95.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $6,309.57 / $13,803.84	Facility		$114.82	$6,309.57	$13,803.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Professional		$100.00	$100.00	$104.71