Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.32 / $798.32 / $798.32	Facility		$798.32	$798.32	$798.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.32 / $1,015.31 / $1,728.09	Professional		$798.32	$1,015.31	$1,728.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,629.29 / $1,629.29 / $1,629.29	Professional		$1,629.29	$1,629.29	$1,629.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,262.41 / $1,599.98 / $2,172.39	Facility		$1,262.41	$1,599.98	$2,172.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,902.22	Professional		$1,167.99	$1,167.99	$1,902.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.64 / $1,998.60 / $2,845.83	Professional		$1,984.64	$1,998.60	$2,845.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,067.71 / $2,172.39 / $2,172.39	Professional		$2,067.71	$2,172.39	$2,172.39
United Facility/Professional Professional Modifier Low / Median / High Price $979.54 / $1,127.43 / $1,994.36	Professional		$979.54	$1,127.43	$1,994.36