Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.86 / $4,294.00 / $9,950.00	Facility		$233.86	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $307.57 / $472.53	Professional		$153.15	$307.57	$472.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $414.74 / $414.74 / $414.74	Professional		$414.74	$414.74	$414.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $444.11 / $444.11 / $444.11	Professional		$444.11	$444.11	$444.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $349.57 / $699.49	Professional		$158.21	$349.57	$699.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.11 / $551.85 / $632.27	Professional		$407.11	$551.85	$632.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $378.57 / $580.80	Professional		$167.34	$378.57	$580.80
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 / $358.59 / $717.76	Professional		$198.43	$358.59	$717.76