Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.77 / $5,817.00 / $10,042.00	Facility		$353.77	$5,817.00	$10,042.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,874.50 / $8,434.50 / $10,042.00	Facility	50	$3,874.50	$8,434.50	$10,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.98 / $1,164.03 / $1,848.77	Professional		$300.98	$1,164.03	$1,848.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,056.78 / $1,056.78 / $1,056.78	Professional		$1,056.78	$1,056.78	$1,056.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,294.36 / $1,481.10 / $1,553.51	Professional		$1,294.36	$1,481.10	$1,553.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.54 / $1,069.49 / $4,482.00	Professional		$331.54	$1,069.49	$4,482.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $503.48 / $1,647.68 / $1,908.38	Professional		$503.48	$1,647.68	$1,908.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,013.04 / $7,013.04 / $7,652.20	Facility		$7,013.04	$7,013.04	$7,652.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $1,262.81 / $2,371.11	Professional		$224.26	$1,262.81	$2,371.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,321.00 / $6,972.00 / $11,243.00	Facility		$3,321.00	$6,972.00	$11,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.89 / $1,627.47 / $3,938.91	Professional		$1,111.89	$1,627.47	$3,938.91