Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $102.33 / $112.20	Facility		$43.65	$102.33	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $52.48	Professional		$41.69	$43.65	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $48.98	Facility		$38.02	$44.67	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,309.57 / $13,803.84	Facility		$100.00	$6,309.57	$13,803.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $52.48	Professional		$50.12	$50.12	$52.48