Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $123.97 / $145.85	Facility		$102.51	$123.97	$145.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $122.61 / $161.94	Professional		$100.13	$122.61	$161.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $115.90 / $115.90	Professional		$115.90	$115.90	$115.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $140.00 / $259.89	Professional		$89.68	$140.00	$259.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $190.87 / $214.60	Professional		$89.00	$190.87	$214.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.98 / $306.98 / $380.40	Facility		$306.98	$306.98	$380.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $139.77 / $225.37	Professional		$94.76	$139.77	$225.37
United Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $133.08 / $261.48	Professional		$97.43	$133.08	$261.48