Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $63.10 / $102.33	Facility		$23.44	$63.10	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $38.90	Professional		$12.02	$18.20	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $39.81 / $83.18	Facility		$17.78	$39.81	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.47 / $23.44	Professional		$9.55	$10.47	$23.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $10.72	Professional		$7.24	$8.51	$10.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $4,570.88 / $13,803.84	Facility		$18.20	$4,570.88	$13,803.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $17.78	Professional		$10.72	$14.45	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $18.20 / $37.15	Facility		$8.51	$18.20	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.72 / $23.44	Professional		$7.24	$10.72	$23.44