Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,918.31 / $10,964.78	Facility		$3,388.44	$6,918.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $1,122.02	Professional		$204.17	$331.13	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $2,630.27	Professional		$102.33	$102.33	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $602.56	Professional		$177.83	$281.84	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $407.38	Professional		$208.93	$269.15	$407.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,471.29 / $16,595.87	Facility		$6,760.83	$10,471.29	$16,595.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $512.86	Professional		$169.82	$251.19	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,165.95 / $10,964.78	Facility		$2,884.03	$6,165.95	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $436.52	Professional		$144.54	$213.80	$436.52