Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,819.70	Professional		$831.76	$1,071.52	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,187.76	Facility		$1,230.27	$1,230.27	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,230.27	Professional		$891.25	$891.25	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $3,162.28	Professional		$1,412.54	$2,290.87	$3,162.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $2,691.53	Facility		$1,288.25	$2,137.96	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,778.28	Professional		$954.99	$1,122.02	$1,778.28