Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.20 / $2,626.00 / $9,125.00	Facility		$101.20	$2,626.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $141.90 / $241.46	Professional		$77.92	$141.90	$241.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $43.60 / $75.56	Professional		$35.85	$43.60	$75.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $173.08 / $408.62	Professional		$82.30	$173.08	$408.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $101.75 / $312.45	Professional		$30.00	$101.75	$312.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.48 / $1,839.48 / $4,347.04	Facility		$1,839.48	$1,839.48	$4,347.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $171.12 / $297.95	Professional		$72.34	$171.12	$297.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $184.75 / $395.86	Professional		$115.60	$184.75	$395.86