Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $602.56	Facility		$165.96	$199.53	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $165.96	Professional		$60.26	$70.79	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $81.28	Professional		$51.29	$51.29	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $158.49	Professional		$60.26	$89.13	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $95.50	Professional		$81.28	$93.33	$95.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $147.91	Professional		$58.88	$81.28	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $141.25	Professional		$52.48	$77.62	$141.25