Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,265.80 / $9,549.93	Facility		$213.80	$4,265.80	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $851.14	Professional		$114.82	$245.47	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $177.83	Professional		$85.11	$134.90	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $389.05	Professional		$107.15	$190.55	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $257.04	Professional		$165.96	$223.87	$257.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,041.74	Facility		$812.83	$1,288.25	$2,041.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $354.81	Professional		$83.18	$165.96	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $281.84	Professional		$60.26	$114.82	$281.84