Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.23 / $2,073.60 / $3,502.28	Facility		$924.23	$2,073.60	$3,502.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $78.40	Professional		$40.29	$40.29	$78.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $53.51	Professional		$46.82	$46.82	$53.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $48.94 / $63.34	Facility		$40.29	$48.94	$63.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $39.83 / $63.75	Professional		$38.01	$39.83	$63.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $170.93 / $13,785.00	Facility		$80.02	$170.93	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $49.43 / $49.43	Professional		$42.35	$49.43	$49.43
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.51 / $49.37	Professional		$40.29	$42.51	$49.37