Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $28.59 / $53.73	Facility		$19.00	$28.59	$53.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $22.20	Professional		$19.00	$19.00	$22.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Professional		$21.99	$21.99	$21.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $67.04 / $86.76	Facility		$19.00	$67.04	$86.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $15.34 / $31.02	Professional		$15.34	$15.34	$31.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $47.65 / $13,785.00	Facility		$28.74	$47.65	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $48.86	Professional		$23.96	$23.96	$48.86
United Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $72.08 / $72.08	Facility		$72.08	$72.08	$72.08
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.95 / $22.61	Professional		$19.00	$19.95	$22.61