Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.77 / $112.45 / $112.45	Facility		$110.77	$112.45	$112.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $102.61 / $140.81	Professional		$82.94	$102.61	$140.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $138.63	Professional		$138.63	$138.63	$138.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $138.53 / $245.48	Professional		$73.81	$138.53	$245.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $158.04 / $206.80	Professional		$122.92	$158.04	$206.80
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $97.54 / $172.56	Professional		$76.08	$97.54	$172.56
United Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $113.98 / $217.91	Professional		$79.38	$113.98	$217.91