Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $92.03 / $92.03	Facility		$92.03	$92.03	$92.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $102.68	Professional		$92.03	$92.03	$102.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $83.57 / $83.57	Professional		$83.57	$83.57	$83.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $137.83 / $189.18	Professional		$112.36	$137.83	$189.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $83.48 / $85.94	Professional		$70.95	$83.48	$85.94
United Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $95.46 / $172.81	Professional		$71.33	$95.46	$172.81