Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.12 / $26.92	Facility		$20.89	$25.12	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $28.84	Professional		$16.98	$22.91	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $31.62	Professional		$28.84	$28.84	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $67.61	Professional		$50.12	$57.54	$67.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $467.74	Facility		$186.21	$257.04	$467.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $28.84	Professional		$20.89	$24.55	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $48.98	Professional		$19.95	$27.54	$48.98