Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.54 / $2,626.00 / $9,125.00	Facility		$196.54	$2,626.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $285.63 / $534.72	Professional		$204.27	$285.63	$534.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $282.14 / $282.14	Professional		$282.14	$282.14	$282.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $374.03 / $768.13	Professional		$214.00	$374.03	$768.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $373.33 / $506.07 / $663.97	Professional		$373.33	$506.07	$663.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,627.14 / $2,866.57 / $6,216.17	Facility		$2,627.14	$2,866.57	$6,216.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.64 / $357.36 / $592.97	Professional		$204.64	$357.36	$592.97
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 $237.87 / $361.22 / $818.65	Professional		$237.87	$361.22	$818.65