Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $4,118.00 / $9,125.00	Facility		$67.09	$4,118.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $152.61 / $280.01	Professional		$67.09	$152.61	$280.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $72.72 / $72.72	Professional		$72.72	$72.72	$72.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $198.69 / $482.59	Professional		$78.59	$198.69	$482.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $291.57 / $384.98	Professional		$215.09	$291.57	$384.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.21 / $2,279.40 / $4,629.32	Facility		$1,900.21	$2,279.40	$4,629.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $187.35 / $335.47	Professional		$69.42	$187.35	$335.47
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 $143.27 / $210.04 / $459.35	Professional		$143.27	$210.04	$459.35