Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $10,964.78	Facility		$2,884.03	$5,754.40	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $416.87	Professional		$70.79	$173.78	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $478.63	Professional		$79.43	$199.53	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $501.19	Professional		$199.53	$323.59	$501.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $4,677.35	Facility		$1,905.46	$3,019.95	$4,677.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $199.53 / $407.38	Professional		$60.26	$199.53	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $8,511.38	Facility		$2,089.30	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $338.84	Professional		$58.88	$151.36	$338.84