Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.48 / $4,294.00 / $9,784.00	Facility		$386.48	$4,294.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,242.00 / $4,558.00 / $18,917.00	Facility	50	$2,242.00	$4,558.00	$18,917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,213.57 / $1,912.64	Professional		$284.02	$1,213.57	$1,912.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $8,662.50 / $8,662.50 / $10,106.26	Professional	50	$8,662.50	$8,662.50	$10,106.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $156.56 / $156.56	Professional		$156.56	$156.56	$156.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.08 / $898.77 / $2,892.65	Professional		$328.08	$898.77	$2,892.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.99 / $2,543.46 / $3,179.12	Professional		$1,846.99	$2,543.46	$3,179.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,379.20 / $7,652.20 / $15,541.20	Facility		$6,379.20	$7,652.20	$15,541.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.82 / $1,419.09 / $2,431.69	Professional		$253.82	$1,419.09	$2,431.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,305.00 / $14,121.00	Facility		$3,885.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,464.74 / $1,928.43 / $3,588.44	Professional		$1,464.74	$1,928.43	$3,588.44