Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $104.68 / $104.68	Facility		$104.68	$104.68	$104.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $104.68 / $123.69	Professional		$65.18	$104.68	$123.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $107.58 / $111.97	Professional		$93.05	$107.58	$111.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $150.43 / $206.74	Professional		$123.20	$150.43	$206.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $102.77 / $105.40	Professional		$87.35	$102.77	$105.40
United Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $118.66 / $213.58	Professional		$79.08	$118.66	$213.58