Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,772.37 / $14,125.38	Facility		$4,466.84	$9,772.37	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,659.59 / $3,890.45	Professional		$426.58	$1,659.59	$3,890.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,445.44 / $5,888.44	Professional		$467.74	$1,445.44	$5,888.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $3,467.37 / $4,168.69	Professional		$724.44	$3,467.37	$4,168.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $36,307.81 / $57,543.99	Facility		$23,442.29	$36,307.81	$57,543.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,238.72 / $5,011.87	Professional		$354.81	$2,238.72	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,715.19 / $29,512.09	Facility		$5,128.61	$10,715.19	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,862.09 / $4,786.30	Professional		$416.87	$1,862.09	$4,786.30