Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $38.02 / $100.00	Facility		$5.37	$38.02	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $10.72	Professional		$3.98	$3.98	$10.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.07 / $5.25	Facility		$3.98	$4.07	$5.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.17 / $5.25	Professional		$3.98	$4.17	$5.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10,715.19 / $25,118.86	Facility		$10.00	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $4.68	Professional		$3.98	$4.68	$4.68
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.96 / $11.22	Facility		$5.25	$10.96	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.37 / $6.61	Professional		$4.07	$4.37	$6.61