Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.43 / $122.91 / $163.88	Facility		$107.43	$122.91	$163.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $124.37 / $165.00	Professional		$99.23	$124.37	$165.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $109.14 / $135.81	Professional		$90.52	$109.14	$135.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $160.00 / $266.27	Professional		$103.26	$160.00	$266.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $221.35 / $224.07	Professional		$65.00	$221.35	$224.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.62 / $390.62 / $390.62	Facility		$390.62	$390.62	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $149.38 / $221.93	Professional		$112.13	$149.38	$221.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $137.52 / $237.21	Professional		$104.38	$137.52	$237.21