Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $145.08 / $145.08	Facility		$145.08	$145.08	$145.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $157.78 / $216.63	Professional		$145.08	$157.78	$216.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $250.26 / $250.26	Professional		$250.26	$250.26	$250.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.63 / $209.59 / $394.79	Facility		$208.63	$209.59	$394.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $345.69	Professional		$153.00	$153.00	$345.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $360.66 / $363.21 / $517.16	Professional		$360.66	$363.21	$517.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.54 / $394.79 / $394.79	Professional		$385.54	$394.79	$394.79
United Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $250.77 / $394.79	Facility		$219.98	$250.77	$394.79
United Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $206.07 / $362.43	Professional		$177.26	$206.07	$362.43