Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,495.41 / $10,964.78	Facility		$2,290.87	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $416.87	Professional		$81.28	$141.25	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $173.78	Professional		$123.03	$123.03	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $302.00	Professional		$89.13	$144.54	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $234.42	Professional		$154.88	$213.80	$234.42
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 $75.86 / $151.36 / $257.04	Professional		$75.86	$151.36	$257.04
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 $53.70 / $102.33 / $239.88	Professional		$53.70	$102.33	$239.88