Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $4,118.00 / $9,842.00	Facility		$50.79	$4,118.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $130.44 / $177.83	Professional		$50.79	$130.44	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $144.66 / $153.16	Professional		$144.66	$144.66	$153.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $128.16 / $306.04	Professional		$52.11	$128.16	$306.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $215.62 / $246.34	Professional		$159.07	$215.62	$246.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,363.91 / $1,692.05 / $3,227.16	Facility		$1,363.91	$1,692.05	$3,227.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $139.03 / $248.28	Professional		$60.20	$139.03	$248.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $146.97 / $309.41	Professional		$85.25	$146.97	$309.41