Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $3,920.50 / $8,419.00	Facility		$90.76	$3,920.50	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $103.09 / $295.58	Professional		$69.47	$103.09	$295.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $62.88 / $62.88	Professional		$62.88	$62.88	$62.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $116.05 / $237.61	Professional		$66.23	$116.05	$237.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $115.63 / $202.88	Professional		$19.20	$115.63	$202.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.13 / $3,939.13 / $3,939.13	Facility		$3,939.13	$3,939.13	$3,939.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $129.40 / $189.77	Professional		$77.42	$129.40	$189.77
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 $71.76 / $121.17 / $241.91	Professional		$71.76	$121.17	$241.91