Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $50.12	Professional		$20.89	$33.88	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Facility		$42.66	$42.66	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $75.86	Professional		$36.31	$42.66	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $74.13	Professional		$42.66	$60.26	$74.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $26.92 / $75.86	Facility		$3.55	$26.92	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $56.23	Professional		$26.92	$36.31	$56.23