Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $6,025.60 / $11,748.98	Facility		$537.03	$6,025.60	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $912.01	Professional		$263.03	$380.19	$912.01
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $316.23 / $457.09 / $812.83	Professional	54	$316.23	$457.09	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $954.99	Professional		$257.04	$389.05	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $588.84	Professional		$281.84	$426.58	$588.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,230.27	Facility		$489.78	$776.25	$1,230.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $1,174.90	Professional		$257.04	$371.54	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $707.95	Professional		$199.53	$316.23	$707.95