Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.08 / $96.08 / $96.08	Facility		$96.08	$96.08	$96.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $95.88 / $110.09	Professional		$67.33	$95.88	$110.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Professional		$132.00	$132.00	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $126.78 / $251.58	Professional		$102.27	$126.78	$251.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $91.19 / $93.44	Professional		$77.51	$91.19	$93.44
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $108.66 / $205.13	Professional		$70.84	$108.66	$205.13