Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.77 / $4,294.00 / $9,125.00	Facility		$207.77	$4,294.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $228.50 / $467.39	Professional		$154.93	$228.50	$467.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.64 / $292.64 / $292.64	Professional		$292.64	$292.64	$292.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $252.83 / $535.08	Professional		$137.57	$252.83	$535.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $231.25 / $427.07	Professional		$120.00	$231.25	$427.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.43 / $1,710.56 / $3,709.35	Facility		$1,380.43	$1,710.56	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $280.92 / $408.81	Professional		$171.28	$280.92	$408.81
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 $159.57 / $266.70 / $518.76	Professional		$159.57	$266.70	$518.76