Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $616.60	Professional		$269.15	$363.08	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $407.38 / $707.95	Facility		$389.05	$407.38	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $1,023.29	Professional		$457.09	$741.31	$1,023.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $758.58	Facility		$245.47	$489.78	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $549.54	Professional		$316.23	$363.08	$549.54