Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $49.47 / $799.00	Facility		$20.35	$49.47	$799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $34.21	Professional		$20.35	$20.35	$34.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Professional		$25.60	$25.60	$25.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $61.25 / $98.50	Facility		$20.35	$61.25	$98.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $21.12	Professional		$20.35	$20.35	$21.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $22.08 / $30.55	Professional		$21.12	$22.08	$30.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.07 / $91.10 / $13,785.00	Facility		$41.07	$91.10	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $28.27 / $279.76	Professional		$25.60	$28.27	$279.76
United Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $100.47 / $102.84	Facility		$25.60	$100.47	$102.84
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.37 / $24.42	Professional		$20.35	$21.37	$24.42