Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,025.60 / $10,000.00	Facility		$870.96	$6,025.60	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $645.65 / $1,513.56	Professional		$218.78	$645.65	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $1,047.13	Professional		$223.87	$239.88	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,754.23 / $3,630.78	Facility		$380.19	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $575.44 / $1,479.11	Professional		$245.47	$575.44	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,621.81	Professional		$691.83	$1,047.13	$1,621.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,165.95 / $9,549.93	Facility		$3,890.45	$6,165.95	$9,549.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $660.69 / $1,548.82	Professional		$177.83	$660.69	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,128.61 / $8,511.38	Facility		$2,089.30	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $524.81 / $1,230.27	Professional		$181.97	$524.81	$1,230.27