Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $10,471.29	Facility		$2,818.38	$5,495.41	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $512.86	Professional		$131.83	$199.53	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $524.81	Professional		$134.90	$263.03	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $213.80	Professional		$134.90	$154.88	$213.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $14,454.40	Facility		$5,888.44	$9,120.11	$14,454.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $741.31	Professional		$117.49	$186.21	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $10,964.78	Facility		$2,951.21	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $426.58	Professional		$112.20	$190.55	$426.58