Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.30 / $195.30 / $195.30	Facility		$195.30	$195.30	$195.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $253.07 / $344.90	Professional		$195.30	$253.07	$344.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $257.27 / $257.27	Professional		$257.27	$257.27	$257.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $535.20	Facility		$375.73	$375.73	$535.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $468.65	Professional		$274.27	$274.27	$468.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $492.38 / $588.72 / $701.11	Professional		$492.38	$588.72	$701.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.02 / $445.02 / $445.02	Professional		$445.02	$445.02	$445.02
United Facility/Professional Professional Modifier Low / Median / High Price $242.21 / $267.01 / $535.20	Professional		$242.21	$267.01	$535.20