Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $977.24	Professional		$407.38	$630.96	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $1,071.52	Facility		$630.96	$776.25	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $776.25	Professional		$562.34	$562.34	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,548.82	Professional		$691.83	$1,122.02	$1,548.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $794.33 / $1,202.26	Facility		$389.05	$794.33	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $870.96	Professional		$467.74	$537.03	$870.96