Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,981.07 / $6,456.54	Facility		$512.86	$3,981.07	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $45.71 / $575.44	Professional		$21.88	$45.71	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $43.65	Professional		$19.05	$25.70	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $81.28	Professional		$20.89	$38.02	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $67.61	Professional		$44.67	$60.26	$67.61
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 $21.38 / $40.74 / $69.18	Professional		$21.38	$40.74	$69.18
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 $14.13 / $28.18 / $64.57	Professional		$14.13	$28.18	$64.57