Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $114.82	Professional		$48.98	$67.61	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $123.03	Professional		$75.86	$93.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $128.82	Facility		$77.62	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $186.21	Professional		$83.18	$134.90	$186.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $141.25	Facility		$79.43	$91.20	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $102.33	Professional		$57.54	$66.07	$102.33