Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $2,187.76 / $9,120.11	Facility		$87.10	$2,187.76	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $263.03	Professional		$42.66	$60.26	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $75.86	Professional		$54.95	$64.57	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $194.98	Professional		$45.71	$85.11	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $112.20	Professional		$63.10	$81.28	$112.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $134.90	Professional		$39.81	$67.61	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $109.65	Professional		$28.18	$51.29	$109.65