Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.17 / $5,845.00 / $9,950.00	Facility		$640.17	$5,845.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.35 / $545.24 / $640.17	Professional		$322.35	$545.24	$640.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.94 / $307.94 / $307.94	Professional		$307.94	$307.94	$307.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $330.26 / $330.26 / $330.26	Professional		$330.26	$330.26	$330.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.31 / $683.36 / $1,495.44	Professional		$345.31	$683.36	$1,495.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,615.29 / $6,296.41 / $7,911.28	Facility		$5,615.29	$6,296.41	$7,911.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.68 / $434.83 / $1,334.98	Professional		$283.68	$434.83	$1,334.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.25 / $546.83 / $1,168.49	Professional		$309.25	$546.83	$1,168.49