Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.75 / $174.75 / $174.75	Facility		$174.75	$174.75	$174.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $195.62 / $277.20	Professional		$174.75	$195.62	$277.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.02 / $326.02 / $326.02	Professional		$326.02	$326.02	$326.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.25 / $281.20 / $475.55	Facility		$280.25	$281.20	$475.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $416.40	Professional		$205.28	$205.28	$416.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $434.44 / $437.51 / $622.97	Professional		$434.44	$437.51	$622.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.63 / $475.55 / $475.55	Professional		$452.63	$475.55	$475.55
United Facility/Professional Professional Modifier Low / Median / High Price $214.42 / $283.70 / $475.55	Professional		$214.42	$283.70	$475.55