Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $31.56 / $95.35	Facility		$21.53	$31.56	$95.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $27.34	Professional		$21.53	$21.53	$27.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $25.08 / $25.08	Professional		$25.08	$25.08	$25.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $29.56 / $38.26	Facility		$21.52	$29.56	$38.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $22.34	Professional		$21.52	$21.52	$22.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $23.35 / $32.32	Professional		$22.34	$23.35	$32.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $22.37 / $26.35	Professional		$21.69	$22.37	$26.35
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.75 / $78.20	Professional		$21.53	$22.75	$78.20