Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $165.96	Professional		$75.86	$97.72	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $199.53	Facility		$120.23	$120.23	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $288.40	Professional		$128.82	$208.93	$288.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $194.98 / $239.88	Facility		$102.33	$194.98	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $162.18	Professional		$87.10	$102.33	$162.18