Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.45 / $93.33	Facility		$1.58	$2.45	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.82	Professional		$1.00	$1.00	$1.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.95 / $3.89	Facility		$1.26	$2.95	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.29 / $2.63	Professional		$2.19	$2.29	$2.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $11,481.54 / $25,703.96	Facility		$2.57	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.35	Professional		$1.26	$1.26	$1.35
United Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $2.24 / $2.29	Facility		$1.10	$2.24	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.32 / $9.12	Professional		$1.26	$1.32	$9.12