Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.55 / $4,118.00 / $9,284.00	Facility		$388.55	$4,118.00	$9,284.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,115.00 / $6,026.00 / $7,674.08	Facility	50	$5,115.00	$6,026.00	$7,674.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $1,098.23 / $2,015.16	Professional		$285.25	$1,098.23	$2,015.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $105.38 / $493.65 / $2,360.30	Professional	50	$105.38	$493.65	$2,360.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $314.50 / $314.50	Professional		$145.41	$314.50	$314.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $471.75 / $471.75 / $730.89	Professional	50	$471.75	$471.75	$730.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $901.35 / $2,993.36	Professional		$328.51	$901.35	$2,993.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.65 / $2,681.59 / $3,346.88	Professional		$1,945.65	$2,681.59	$3,346.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,142.33 / $13,142.33 / $25,063.76	Facility		$13,142.33	$13,142.33	$25,063.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.93 / $1,481.27 / $2,455.37	Professional		$254.93	$1,481.27	$2,455.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,881.00 / $10,536.00 / $23,291.00	Facility		$4,881.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.64 / $1,976.01 / $3,729.61	Professional		$1,543.64	$1,976.01	$3,729.61