Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $64.57	Professional		$30.90	$38.90	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $100.00	Facility		$45.71	$45.71	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $45.71	Professional		$33.11	$33.11	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $144.54	Professional		$64.57	$104.71	$144.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $58.88 / $100.00	Facility		$47.86	$58.88	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $75.86	Professional		$37.15	$48.98	$75.86