Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $42.30 / $101.48	Facility		$3.45	$42.30	$101.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.62	Professional		$3.45	$3.45	$4.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $3.45	Professional		$3.45	$3.45	$3.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $4.96 / $6.42	Facility		$3.45	$4.96	$6.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $3.74	Professional		$3.45	$3.45	$3.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $3.74 / $5.17	Professional		$3.58	$3.74	$5.17
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 $3.96 / $4.05 / $4.67	Professional		$3.96	$4.05	$4.67
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.62 / $6.37	Professional		$3.45	$3.62	$6.37