Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $3,269.58 / $6,986.00	Facility		$136.07	$3,269.58	$6,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $144.81 / $229.98	Professional		$80.79	$144.81	$229.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $116.14 / $116.14	Professional		$116.14	$116.14	$116.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $174.91 / $404.00	Professional		$86.35	$174.91	$404.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $240.85 / $319.99	Professional		$177.68	$240.85	$319.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,610.11 / $7,512.32	Facility		$3,178.88	$3,610.11	$7,512.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $168.76 / $282.06	Professional		$76.86	$168.76	$282.06
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 $122.94 / $197.23 / $416.82	Professional		$122.94	$197.23	$416.82