Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.37 / $4,336.68 / $9,383.00	Facility		$347.37	$4,336.68	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $347.37 / $583.98	Professional		$219.84	$347.37	$583.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $103.43 / $208.23	Professional		$103.43	$103.43	$208.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $435.26 / $913.50	Professional		$211.37	$435.26	$913.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.54 / $335.95 / $407.49	Professional		$233.54	$335.95	$407.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,924.40 / $7,652.20 / $15,541.20	Facility		$6,924.40	$7,652.20	$15,541.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.73 / $258.51 / $645.77	Professional		$179.73	$258.51	$645.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,043.00 / $14,121.00	Facility		$3,885.00	$8,043.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $284.86 / $535.58	Professional		$158.47	$284.86	$535.58