Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.12 / $5,817.00 / $10,202.00	Facility		$397.12	$5,817.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $376.17 / $549.51	Professional		$143.55	$376.17	$549.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $130.63 / $130.63	Professional		$130.63	$130.63	$130.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.11 / $484.99 / $1,069.16	Professional		$180.11	$484.99	$1,069.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $374.11 / $385.02	Professional		$277.89	$374.11	$385.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.64 / $3,565.92 / $8,437.42	Facility		$3,243.64	$3,565.92	$8,437.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.82 / $487.00 / $921.50	Professional		$272.82	$487.00	$921.50
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 $236.24 / $540.94 / $1,286.91	Professional		$236.24	$540.94	$1,286.91