Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $151.36	Facility		$83.18	$100.00	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $398.11	Professional		$77.62	$97.72	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Professional		$87.10	$87.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $229.09	Professional		$83.18	$144.54	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $181.97	Professional		$93.33	$125.89	$181.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $194.98	Professional		$97.72	$125.89	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $190.55	Professional		$58.88	$97.72	$190.55