Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $4,570.88 / $10,232.93	Facility		$165.96	$4,570.88	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $436.52	Professional		$72.44	$138.04	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $263.03	Professional		$67.61	$125.89	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $107.15 / $181.97	Professional		$23.99	$107.15	$181.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $3,548.13	Facility		$1,412.54	$2,290.87	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $223.87	Professional		$67.61	$125.89	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $7,762.47	Facility		$1,862.09	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $208.93	Professional		$46.77	$87.10	$208.93