Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.06 / $4,294.00 / $9,125.00	Facility		$180.06	$4,294.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $415.55 / $879.22	Professional		$139.09	$415.55	$879.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $585.79 / $594.02	Professional		$173.67	$585.79	$594.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $416.49 / $1,164.58	Professional		$157.21	$416.49	$1,164.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $791.16 / $1,090.50 / $1,352.43	Professional		$791.16	$1,090.50	$1,352.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,047.81 / $3,148.43 / $3,776.73	Facility		$3,047.81	$3,148.43	$3,776.73
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $638.33 / $1,052.60	Professional		$136.32	$638.33	$1,052.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,425.00 / $5,265.00 / $10,536.00	Facility		$3,425.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.24 / $745.80 / $1,699.30	Professional		$605.24	$745.80	$1,699.30