Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $1,454.00 / $6,153.00	Facility		$104.56	$1,454.00	$6,153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $129.07 / $541.00	Professional		$82.89	$129.07	$541.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $142.19 / $142.19	Professional		$142.19	$142.19	$142.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $144.61 / $304.31	Professional		$83.57	$144.61	$304.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $94.82 / $242.95	Professional		$9.60	$94.82	$242.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.95 / $971.34 / $1,852.45	Facility		$878.95	$971.34	$1,852.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $150.94 / $224.83	Professional		$97.55	$150.94	$224.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $153.35 / $321.95	Professional		$84.19	$153.35	$321.95