Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $35.29 / $90.69	Facility		$29.28	$35.29	$90.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $34.72	Professional		$29.29	$29.29	$34.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $34.44 / $34.44	Professional		$34.44	$34.44	$34.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $31.88 / $41.26	Facility		$29.29	$31.88	$41.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $30.40	Professional		$29.29	$29.29	$30.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $29.04 / $38.86	Professional		$29.04	$29.04	$38.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $62.19 / $13,785.00	Facility		$28.92	$62.19	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $28.01 / $28.68	Professional		$25.89	$28.01	$28.68
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $49.79	Facility		$29.29	$29.29	$49.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $30.90 / $37.46	Professional		$29.29	$30.90	$37.46