Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.29 / $4,540.00 / $8,709.67	Facility		$294.29	$4,540.00	$8,709.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,934.06 / $7,934.06 / $9,346.50	Facility	50	$7,934.06	$7,934.06	$9,346.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.13 / $706.01 / $1,384.88	Professional		$250.13	$706.01	$1,384.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $117.08 / $456.60	Professional		$116.96	$117.08	$456.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.94 / $281.94 / $287.26	Facility		$281.94	$281.94	$287.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $612.71 / $1,868.36	Professional		$263.51	$612.71	$1,868.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $931.40 / $1,275.60 / $1,600.18	Professional		$931.40	$1,275.60	$1,600.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $789.84 / $1,483.04	Professional		$203.05	$789.84	$1,483.04
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 $675.47 / $1,028.36 / $2,085.58	Professional		$675.47	$1,028.36	$2,085.58