Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $10,471.29	Facility		$1,548.82	$5,495.41	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $457.09	Professional		$85.11	$213.80	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $302.00 / $707.95	Professional		$112.20	$302.00	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $478.63	Professional		$158.49	$302.00	$478.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,548.13	Facility		$1,445.44	$2,290.87	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $269.15 / $524.81	Professional		$81.28	$269.15	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $169.82 / $489.78	Professional		$57.54	$169.82	$489.78