Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $50.70 / $109.38	Facility		$5.30	$50.70	$109.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.40	Professional		$5.30	$5.30	$6.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $5.29	Professional		$3.99	$3.99	$5.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $5.30 / $5.96	Facility		$4.61	$5.30	$5.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $5.30	Professional		$5.30	$5.30	$5.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.75 / $6.47	Professional		$5.50	$5.75	$6.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $5.33 / $5.49	Professional		$4.42	$5.33	$5.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.57 / $6.45	Professional		$5.30	$5.57	$6.45