Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,495.41 / $10,000.00	Facility		$691.83	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $331.13 / $1,445.44	Professional		$128.82	$331.13	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $141.25	Professional		$131.83	$131.83	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $323.59 / $1,412.54	Professional		$144.54	$323.59	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,023.29	Professional		$660.69	$891.25	$1,023.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $3,548.13	Facility		$1,412.54	$2,290.87	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $562.34 / $1,288.25	Professional		$112.20	$562.34	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $316.23 / $1,096.48	Professional		$79.43	$316.23	$1,096.48