Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $77.89 / $77.89	Facility		$77.89	$77.89	$77.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $82.95 / $130.37	Professional		$69.98	$82.95	$130.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $92.81 / $92.81	Professional		$92.81	$92.81	$92.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $211.97	Facility		$113.25	$113.25	$211.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $185.60	Professional		$82.67	$82.67	$185.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $195.01 / $277.68	Professional		$193.64	$195.01	$277.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $98.06 / $140.99	Professional		$98.06	$98.06	$140.99
United Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $106.33 / $211.97	Professional		$84.55	$106.33	$211.97