Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.11 / $244.11 / $511.79	Facility		$244.11	$244.11	$511.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.03 / $252.28 / $416.41	Professional		$204.03	$252.28	$416.41
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.02 / $126.14 / $173.99	Professional	52	$102.02	$126.14	$173.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.13 / $278.69 / $285.77	Professional		$263.13	$278.69	$285.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.57 / $317.58 / $573.74	Professional		$227.57	$317.58	$573.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $292.76 / $390.35 / $562.75	Professional		$292.76	$390.35	$562.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $279.77 / $472.93	Professional		$192.32	$279.77	$472.93
United Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $251.08 / $447.51	Professional		$181.10	$251.08	$447.51