Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $1,692.99 / $8,533.65	Facility		$10.54	$1,692.99	$8,533.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.39	Professional		$10.54	$10.54	$13.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Professional		$12.12	$12.12	$12.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $14.03 / $18.14	Facility		$10.08	$14.03	$18.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.94	Professional		$10.54	$10.54	$10.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.28	Professional		$10.54	$10.54	$14.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $26.26 / $13,785.00	Facility		$13.06	$26.26	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $13.06 / $14.30	Professional		$11.72	$13.06	$14.30
United Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $14.10 / $14.10	Facility		$14.10	$14.10	$14.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.12 / $13.18	Professional		$10.54	$11.12	$13.18