Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $281.84 / $2,290.87	Facility		$131.83	$281.84	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $380.19	Professional		$104.71	$104.71	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $229.09	Facility		$104.71	$125.89	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $97.72	Professional		$66.07	$77.62	$97.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,570.88 / $21,877.62	Facility		$213.80	$4,570.88	$21,877.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $398.11	Facility		$102.33	$181.97	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $165.96	Professional		$104.71	$109.65	$165.96