Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $6,062.70 / $24,923.56	Facility		$17.02	$6,062.70	$24,923.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.47	Professional		$17.02	$17.02	$20.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.27	Professional		$17.02	$17.02	$20.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $17.02 / $21.82	Facility		$16.05	$17.02	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.66	Professional		$17.02	$17.02	$17.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.75	Professional		$17.02	$17.02	$20.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $73.04 / $13,785.00	Facility		$16.23	$73.04	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $16.19 / $16.89	Professional		$14.92	$16.19	$16.89
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.96 / $19.47	Professional		$17.02	$17.96	$19.47