Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $96.51 / $273.95	Facility		$79.00	$96.51	$273.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $94.80	Professional		$79.00	$79.00	$94.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $90.25 / $90.25	Professional		$90.25	$90.25	$90.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $79.00 / $101.43	Facility		$74.52	$79.00	$101.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $81.98	Professional		$79.00	$79.00	$81.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $85.70 / $106.64	Professional		$81.97	$85.70	$106.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $170.02 / $13,785.00	Facility		$75.20	$170.02	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $75.20 / $78.45	Professional		$70.29	$75.20	$78.45
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $82.95 / $105.07	Professional		$79.00	$82.95	$105.07