Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $55.46 / $55.46	Facility		$55.46	$55.46	$55.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $67.40 / $98.13	Professional		$55.46	$67.40	$98.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $116.60 / $116.60	Professional		$116.60	$116.60	$116.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $150.91	Facility		$100.03	$100.03	$150.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $132.15	Professional		$73.02	$73.02	$132.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $138.85 / $197.71	Professional		$137.87	$138.85	$197.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $150.91 / $150.91	Professional		$147.38	$150.91	$150.91
United Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $79.39 / $150.91	Professional		$68.05	$79.39	$150.91