Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.84 / $188.84 / $188.84	Facility		$188.84	$188.84	$188.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.56 / $192.79 / $240.37	Professional		$139.56	$192.79	$240.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $381.45 / $381.45 / $381.45	Professional		$381.45	$381.45	$381.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.69 / $285.54 / $565.04	Professional		$229.69	$285.54	$565.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $191.96 / $196.68	Professional		$163.16	$191.96	$196.68
United Facility/Professional Professional Modifier Low / Median / High Price $153.59 / $222.87 / $389.92	Professional		$153.59	$222.87	$389.92