Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $151.36	Professional		$75.86	$102.33	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $144.54	Professional		$102.33	$109.65	$144.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $120.23 / $144.54 / $158.49	Professional	25	$120.23	$144.54	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Facility		$107.15	$107.15	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $263.03	Professional		$85.11	$109.65	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Professional		$134.90	$134.90	$169.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $229.09	Professional		$107.15	$125.89	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $229.09	Professional		$83.18	$134.90	$229.09