Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $9,695.87 / $17,354.58	Facility		$91.34	$9,695.87	$17,354.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $105.04	Professional		$91.34	$91.34	$105.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $89.39	Professional		$89.39	$89.39	$89.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $94.61 / $122.43	Facility		$91.34	$94.61	$122.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $94.79	Professional		$91.34	$91.34	$94.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $99.10 / $115.89	Professional		$94.79	$99.10	$115.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.39 / $197.24 / $13,785.00	Facility		$89.39	$197.24	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $87.31 / $89.95	Professional		$79.42	$87.31	$89.95
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $96.51 / $114.18	Professional		$91.34	$96.51	$114.18