Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $741.31	Professional		$537.03	$676.08	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $891.25	Professional		$457.09	$537.03	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $891.25	Professional		$758.58	$891.25	$891.25