Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.60 / $4,174.00 / $8,155.00	Facility		$356.60	$4,174.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.69 / $431.10 / $736.85	Professional		$309.69	$431.10	$736.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $430.63 / $430.63 / $430.63	Professional		$430.63	$430.63	$430.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.68 / $558.22 / $1,215.61	Professional		$341.68	$558.22	$1,215.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $555.64 / $738.00 / $758.68	Professional		$555.64	$738.00	$758.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $6,365.87 / $15,043.78	Facility		$6,365.87	$6,365.87	$15,043.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $515.35 / $994.80	Professional		$285.14	$515.35	$994.80
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 $396.49 / $618.90 / $1,456.08	Professional		$396.49	$618.90	$1,456.08