Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $130.63 / $130.63	Facility		$130.63	$130.63	$130.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $130.63 / $184.74	Professional		$93.93	$130.63	$184.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $186.02 / $186.02	Professional		$186.02	$186.02	$186.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $179.94 / $355.86	Professional		$144.66	$179.94	$355.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $123.93 / $127.02	Professional		$105.34	$123.93	$127.02
United Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $145.97 / $279.66	Professional		$98.06	$145.97	$279.66