Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.32 / $5,644.00 / $15,046.04	Facility		$831.32	$5,644.00	$15,046.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $761.72 / $1,542.91	Professional		$549.97	$761.72	$1,542.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $561.20 / $561.20 / $561.20	Professional		$561.20	$561.20	$561.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.89 / $1,116.11 / $2,450.02	Professional		$625.89	$1,116.11	$2,450.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $940.15 / $1,280.83 / $1,604.83	Professional		$940.15	$1,280.83	$1,604.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,077.87 / $31,281.82 / $67,834.27	Facility		$26,077.87	$31,281.82	$67,834.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.03 / $1,055.98 / $1,903.71	Professional		$569.03	$1,055.98	$1,903.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.09 / $1,231.57 / $3,066.16	Professional		$765.09	$1,231.57	$3,066.16