Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $4,677.35 / $10,715.19	Facility		$181.97	$4,677.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $478.63	Professional		$72.44	$162.18	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $173.78	Professional		$69.18	$97.72	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $257.04	Professional		$67.61	$125.89	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $173.78	Professional		$114.82	$154.88	$173.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $416.87 / $660.69	Facility		$263.03	$416.87	$660.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $218.78	Professional		$52.48	$109.65	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $181.97	Professional		$38.02	$77.62	$181.97