Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.95 / $5,109.00 / $9,860.00	Facility		$330.95	$5,109.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.65 / $1,105.39 / $1,688.37	Professional		$252.65	$1,105.39	$1,688.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.87 / $784.23 / $2,629.74	Professional		$269.87	$784.23	$2,629.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.07 / $1,977.95 / $2,452.33	Professional		$1,433.07	$1,977.95	$2,452.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,175.33 / $7,652.20 / $15,541.20	Facility		$6,175.33	$7,652.20	$15,541.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.28 / $1,291.84 / $2,302.80	Professional		$208.28	$1,291.84	$2,302.80
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 $1,275.66 / $1,703.14 / $3,252.67	Professional		$1,275.66	$1,703.14	$3,252.67