Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,623.41 / $10,232.93	Facility		$380.19	$5,623.41	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $5,495.41 / $11,748.98	Facility	50	$2,884.03	$5,495.41	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $1,000.00	Professional		$158.49	$288.40	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $776.25 / $1,905.46	Professional	50	$363.08	$776.25	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $407.38	Professional		$147.91	$295.12	$407.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $407.38 / $489.78	Professional	50	$407.38	$407.38	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $794.33	Professional		$173.78	$346.74	$794.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $501.19	Professional		$263.03	$323.59	$501.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,495.41 / $8,709.64	Facility		$3,630.78	$5,495.41	$8,709.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $575.44	Professional		$125.89	$269.15	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,511.38	Facility		$2,570.40	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $467.74	Professional		$123.03	$229.09	$467.74