Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $19,498.45	Facility		$223.87	$309.03	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $257.04	Professional		$173.78	$173.78	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $263.03	Facility		$162.18	$204.17	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Professional		$181.97	$181.97	$213.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $9,549.93 / $25,118.86	Facility		$194.98	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Professional		$165.96	$165.96	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $199.53 / $269.15	Facility		$134.90	$199.53	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $199.53	Professional		$165.96	$173.78	$199.53