Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $5,011.87 / $10,000.00	Facility		$245.47	$5,011.87	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $1,174.90	Professional		$162.18	$288.40	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $630.96	Professional		$169.82	$275.42	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $446.68	Professional		$295.12	$398.11	$446.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $8,317.64	Facility		$3,388.44	$5,248.07	$8,317.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $489.78	Professional		$151.36	$288.40	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,511.38	Facility		$2,570.40	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $457.09	Professional		$107.15	$190.55	$457.09