Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $4,786.30	Facility		$70.79	$89.13	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $77.62	Professional		$54.95	$54.95	$77.62
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 $50.12 / $79.43 / $102.33	Facility		$50.12	$79.43	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $79.43	Professional		$48.98	$57.54	$79.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $9,549.93 / $25,118.86	Facility		$114.82	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $91.20 / $123.03	Facility		$50.12	$91.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $83.18	Professional		$54.95	$58.88	$83.18