Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.18 / $4,895.00 / $9,784.00	Facility		$483.18	$4,895.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.13 / $530.64 / $937.48	Professional		$453.13	$530.64	$937.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $586.79 / $586.79 / $586.79	Professional		$586.79	$586.79	$586.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3,842.40 / $3,842.40 / $3,842.40	Professional		$3,842.40	$3,842.40	$3,842.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.65 / $725.27 / $1,641.66	Professional		$506.65	$725.27	$1,641.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $481.70 / $728.35 / $853.43	Professional		$481.70	$728.35	$853.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,610.11 / $3,793.84 / $6,991.24	Facility		$3,610.11	$3,793.84	$6,991.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.45 / $631.47 / $1,299.58	Professional		$477.45	$631.47	$1,299.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.63 / $689.27 / $1,781.28	Professional		$423.63	$689.27	$1,781.28