Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.57 / $162.57 / $162.57	Facility		$162.57	$162.57	$162.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.57 / $182.43 / $225.74	Professional		$162.57	$182.43	$225.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.06 / $260.06 / $260.06	Professional		$260.06	$260.06	$260.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.69 / $232.98 / $442.39	Facility		$230.69	$232.98	$442.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $387.37	Professional		$170.08	$170.08	$387.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $404.14 / $407.00 / $579.53	Professional		$404.14	$407.00	$579.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $442.39 / $442.39	Professional		$432.02	$442.39	$442.39
United Facility/Professional Professional Modifier Low / Median / High Price $198.63 / $220.70 / $346.24	Professional		$198.63	$220.70	$346.24