Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.02 / $4,294.00 / $9,950.00	Facility		$252.02	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.38 / $333.59 / $877.58	Professional		$168.38	$333.59	$877.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $409.55 / $409.55 / $409.55	Professional		$409.55	$409.55	$409.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $434.57 / $521.65 / $689.66	Professional		$434.57	$521.65	$689.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.68 / $377.06 / $730.36	Professional		$171.68	$377.06	$730.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $268.25 / $659.87	Professional		$24.00	$268.25	$659.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.66 / $395.53 / $605.00	Professional		$180.66	$395.53	$605.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.43 / $395.53 / $767.59	Professional		$198.43	$395.53	$767.59