Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.48 / $4,294.00 / $9,284.00	Facility		$270.48	$4,294.00	$9,284.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,681.80 / $4,681.80 / $28,039.50	Facility	50	$4,681.80	$4,681.80	$28,039.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.66 / $993.69 / $1,584.82	Professional		$229.66	$993.69	$1,584.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $111.01 / $219.81	Professional		$108.76	$111.01	$219.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.70 / $251.70 / $257.38	Facility		$251.70	$251.70	$257.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.02 / $632.29 / $2,389.82	Professional		$241.02	$632.29	$2,389.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.79 / $1,915.28 / $2,373.04	Professional		$1,386.79	$1,915.28	$2,373.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.30 / $1,241.86 / $2,059.53	Professional		$191.30	$1,241.86	$2,059.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.79 / $1,515.96 / $3,221.54	Professional		$865.79	$1,515.96	$3,221.54