Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,000.00	Professional		$489.78	$630.96	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,288.25	Facility		$891.25	$891.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Professional		$660.69	$660.69	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $1,862.09	Professional		$831.76	$1,348.96	$1,862.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $1,513.56	Facility		$602.56	$1,258.93	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,023.29	Professional		$562.34	$660.69	$1,023.29