Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $4,570.88 / $10,471.29	Facility		$125.89	$4,570.88	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $58.88 / $208.93	Professional		$14.13	$58.88	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $83.18	Professional		$15.14	$30.20	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $43.65 / $114.82	Professional		$16.22	$43.65	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $51.29 / $100.00	Professional		$23.99	$51.29	$100.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,000.00	Facility		$398.11	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $57.54 / $97.72	Professional		$12.88	$57.54	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $30.90 / $87.10	Professional		$9.12	$30.90	$87.10