Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $4,570.88 / $9,332.54	Facility		$436.52	$4,570.88	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $190.55 / $660.69	Professional		$54.95	$190.55	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $74.13	Professional		$44.67	$60.26	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $177.83 / $575.44	Professional		$58.88	$177.83	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $354.81	Professional		$208.93	$263.03	$354.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $8,317.64	Facility		$3,388.44	$5,248.07	$8,317.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $239.88 / $588.84	Professional		$47.86	$239.88	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,511.38	Facility		$2,570.40	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $165.96 / $467.74	Professional		$48.98	$165.96	$467.74