Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,754.40 / $10,471.29	Facility		$1,445.44	$5,754.40	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,630.27	Professional		$741.31	$1,047.13	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,445.44	Professional		$977.24	$1,122.02	$1,445.44
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $2,238.72	Professional		$616.60	$1,047.13	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,621.81	Professional		$1,047.13	$1,445.44	$1,621.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $9,120.11	Facility		$4,168.69	$5,128.61	$9,120.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $2,041.74	Professional		$691.83	$1,122.02	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,709.64	Facility		$2,570.40	$5,128.61	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,737.80	Professional		$478.63	$776.25	$1,737.80