Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $10,715.19	Facility		$2,754.23	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $331.13	Professional		$61.66	$134.90	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $371.54	Professional		$70.79	$154.88	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $380.19	Professional		$158.49	$239.88	$380.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $6,025.60	Facility		$2,344.23	$3,630.78	$6,025.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $147.91 / $288.40	Professional		$51.29	$147.91	$288.40
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 $51.29 / $120.23 / $245.47	Professional		$51.29	$120.23	$245.47