Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,011.87 / $10,715.19	Facility		$1,174.90	$5,011.87	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $707.95 / $3,311.31	Professional		$169.82	$707.95	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $316.23 / $602.56	Professional		$72.44	$316.23	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,949.84	Professional		$575.44	$870.96	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $954.99	Professional		$549.54	$707.95	$954.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,471.29 / $16,595.87	Facility		$6,606.93	$10,471.29	$16,595.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $2,818.38	Professional		$562.34	$794.33	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,772.37 / $25,118.86	Facility		$4,786.30	$9,772.37	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,584.89	Professional		$478.63	$645.65	$1,584.89