Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $114.27 / $8,533.87	Facility		$75.03	$114.27	$8,533.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $94.53	Professional		$75.03	$75.03	$94.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $75.03	Professional		$75.03	$75.03	$75.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $96.87 / $125.37	Facility		$75.02	$96.87	$125.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $77.86	Professional		$75.02	$75.02	$77.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $77.86 / $112.20	Professional		$77.86	$77.86	$112.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $151.41 / $13,785.00	Facility		$125.00	$151.41	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $76.31 / $80.79	Professional		$74.98	$76.31	$80.79
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.16 / $90.04	Professional		$75.03	$79.16	$90.04