Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.72 / $5,695.00 / $10,202.00	Facility		$584.72	$5,695.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.72 / $569.90 / $887.76	Professional		$266.72	$569.90	$887.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.29 / $342.29 / $342.29	Professional		$342.29	$342.29	$342.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $544.82 / $544.82 / $544.82	Professional		$544.82	$544.82	$544.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.18 / $798.68 / $1,780.99	Professional		$309.18	$798.68	$1,780.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $384.09 / $574.76 / $585.91	Professional		$384.09	$574.76	$585.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,888.29 / $7,888.29 / $16,020.69	Facility		$7,888.29	$7,888.29	$16,020.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.71 / $800.63 / $1,502.37	Professional		$460.71	$800.63	$1,502.37
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 $361.72 / $851.72 / $2,195.48	Professional		$361.72	$851.72	$2,195.48