Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,413.10 / $11,748.98	Facility		$4,466.84	$7,413.10	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $776.25	Professional		$173.78	$234.42	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $602.56	Professional		$169.82	$263.03	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $371.54	Professional		$194.98	$239.88	$371.54
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 $154.88 / $229.09 / $446.68	Professional		$154.88	$229.09	$446.68
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 $134.90 / $199.53 / $398.11	Professional		$134.90	$199.53	$398.11