Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $794.33	Professional		$398.11	$501.19	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $954.99	Professional		$660.69	$660.69	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,071.52	Facility		$588.84	$588.84	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,548.82	Professional		$707.95	$1,148.15	$1,548.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $1,071.52	Facility		$389.05	$707.95	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $851.14	Professional		$467.74	$549.54	$851.14