Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $26.04 / $26.04	Facility		$26.04	$26.04	$26.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $69.73 / $90.91	Professional		$49.20	$69.73	$90.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $325.69 / $399.71 / $512.22	Professional		$325.69	$399.71	$512.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $114.74 / $144.86	Professional		$97.53	$114.74	$144.86
United Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $181.07 / $264.77	Professional		$111.83	$181.07	$264.77