Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $4,365.16 / $9,120.11	Facility		$234.42	$4,365.16	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $389.05	Professional		$79.43	$165.96	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $85.11	Professional		$75.86	$75.86	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $398.11	Professional		$87.10	$173.78	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $346.74	Professional		$158.49	$218.78	$346.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $8,317.64	Facility		$3,388.44	$5,248.07	$8,317.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $338.84	Professional		$67.61	$169.82	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,128.61 / $8,511.38	Facility		$2,137.96	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $316.23	Professional		$64.57	$138.04	$316.23