Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,495.41 / $10,000.00	Facility		$1,348.96	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $446.68	Professional		$72.44	$144.54	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Professional		$100.00	$100.00	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $269.15	Professional		$74.13	$123.03	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $107.15 / $177.83	Professional		$23.99	$107.15	$177.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,388.44 / $7,585.78	Facility		$489.78	$3,388.44	$7,585.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $218.78	Professional		$67.61	$128.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $7,762.47	Facility		$1,862.09	$3,801.89	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $204.17	Professional		$47.86	$87.10	$204.17