Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.89 / $4,118.00 / $9,125.00	Facility		$48.89	$4,118.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $130.33 / $204.05	Professional		$36.65	$130.33	$204.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $44.47 / $44.47	Professional		$37.97	$44.47	$44.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $155.44 / $309.39	Professional		$42.84	$155.44	$309.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.61 / $278.52 / $343.99	Professional		$201.61	$278.52	$343.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $145.02 / $239.18	Professional		$36.25	$145.02	$239.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $179.59 / $377.88	Professional		$138.68	$179.59	$377.88