Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $9,332.54 / $14,125.38	Facility		$2,754.23	$9,332.54	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,071.52 / $2,454.71	Professional		$288.40	$1,071.52	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $309.03	Professional		$288.40	$288.40	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $977.24 / $3,548.13	Professional		$338.84	$977.24	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $2,041.74 / $2,511.89	Professional		$489.78	$2,041.74	$2,511.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $15,848.93 / $28,840.32	Facility		$10,000.00	$15,848.93	$28,840.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,380.38 / $3,162.28	Professional		$239.88	$1,380.38	$3,162.28
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 $281.84 / $1,148.15 / $2,951.21	Professional		$281.84	$1,148.15	$2,951.21