Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,677.35 / $10,232.93	Facility		$575.44	$4,677.35	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $234.42 / $1,174.90	Professional		$67.61	$234.42	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $269.15 / $1,174.90	Professional		$74.13	$269.15	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,122.02	Professional		$562.34	$724.44	$1,122.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,888.44 / $9,549.93	Facility		$3,715.35	$5,888.44	$9,549.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $549.54 / $1,174.90	Professional		$57.54	$549.54	$1,174.90
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 $54.95 / $213.80 / $977.24	Professional		$54.95	$213.80	$977.24