Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $10,715.19	Facility		$1,621.81	$5,370.32	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $426.58	Professional		$85.11	$151.36	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $457.09	Professional		$89.13	$169.82	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $588.84	Professional		$239.88	$363.08	$588.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $6,025.60	Facility		$2,454.71	$3,801.89	$6,025.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $323.59	Professional		$74.13	$154.88	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,011.87 / $8,511.38	Facility		$2,137.96	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $275.42	Professional		$64.57	$131.83	$275.42