Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $245.60 / $245.60	Facility		$245.60	$245.60	$245.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $313.80 / $477.82	Professional		$245.60	$313.80	$477.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $533.38 / $533.38 / $533.38	Professional		$533.38	$533.38	$533.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $668.33	Facility		$440.05	$440.05	$668.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $585.21	Professional		$321.24	$321.24	$585.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $610.57 / $614.86 / $875.51	Professional		$610.57	$614.86	$875.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.66 / $668.33 / $668.33	Professional		$652.66	$668.33	$668.33
United Facility/Professional Professional Modifier Low / Median / High Price $306.87 / $351.58 / $668.33	Professional		$306.87	$351.58	$668.33