Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,606.93 / $10,715.19	Facility		$2,754.23	$6,606.93	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,000.00 / $4,265.80	Professional		$213.80	$1,000.00	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $269.15	Professional		$213.80	$213.80	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $758.58 / $6,760.83	Professional		$269.15	$758.58	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,951.21 / $3,630.78	Professional		$354.81	$2,951.21	$3,630.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $17,378.01 / $27,542.29	Facility		$11,220.18	$17,378.01	$27,542.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $2,238.72 / $5,248.07	Professional		$181.97	$2,238.72	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $25,118.86	Facility		$4,570.88	$9,772.37	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,621.81 / $4,786.30	Professional		$208.93	$1,621.81	$4,786.30