Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $309.47 / $412.62	Facility		$263.02	$309.47	$412.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.02 / $326.12 / $397.02	Professional		$263.02	$326.12	$397.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $427.40 / $427.40 / $427.40	Professional		$427.40	$427.40	$427.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $484.23 / $590.52 / $813.10	Professional		$484.23	$590.52	$813.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.47 / $390.62 / $390.62	Facility		$353.47	$390.62	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $331.53 / $340.14	Professional		$281.80	$331.53	$340.14
United Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $390.03 / $696.80	Professional		$293.77	$390.03	$696.80