Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $2,041.74 / $3,801.89	Facility		$74.13	$2,041.74	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $6,025.60	Professional		$37.15	$51.29	$6,025.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $47.86	Professional		$38.02	$40.74	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $42.66 / $56.23	Facility		$32.36	$42.66	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $58.88	Professional		$29.51	$34.67	$58.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $9,772.37 / $25,118.86	Facility		$79.43	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $109.65	Facility		$46.77	$63.10	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $52.48	Professional		$38.02	$39.81	$52.48