Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $154.66 / $10,551.58	Facility		$62.10	$154.66	$10,551.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $74.52	Professional		$62.10	$62.10	$74.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $63.39 / $63.39	Professional		$63.39	$63.39	$63.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $80.84 / $104.63	Facility		$62.10	$80.84	$104.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $64.44	Professional		$62.10	$62.10	$64.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $67.37 / $83.49	Professional		$64.44	$67.37	$83.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.37 / $8,702.00 / $13,785.00	Facility		$137.37	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $63.39 / $67.91	Professional		$62.99	$63.39	$67.91
United Facility/Professional Facility Modifier Low / Median / High Price $72.63 / $72.63 / $76.84	Facility		$72.63	$72.63	$76.84
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.61 / $73.90	Professional		$62.10	$65.61	$73.90