Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $2,735.49 / $3,881.27	Facility		$13.49	$2,735.49	$3,881.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $15.88	Professional		$13.49	$13.49	$15.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Professional		$15.74	$15.74	$15.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.69 / $25.48	Facility		$13.49	$19.69	$25.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $14.00	Professional		$13.49	$13.49	$14.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $14.63 / $18.25	Professional		$13.99	$14.63	$18.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $23.22 / $13,785.00	Facility		$13.58	$23.22	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $16.46	Professional		$12.88	$12.88	$16.46
United Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $19.64 / $24.00	Facility		$19.64	$19.64	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.25 / $16.19	Professional		$13.49	$14.25	$16.19