Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $2,384.00 / $8,084.00	Facility		$145.58	$2,384.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $684.04 / $1,144.13	Professional		$133.36	$684.04	$1,144.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $127.25	Professional		$127.25	$127.25	$127.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $426.06 / $1,795.76	Professional		$140.72	$426.06	$1,795.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $765.41 / $1,037.56 / $1,374.07	Professional		$765.41	$1,037.56	$1,374.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.48 / $1,900.21 / $4,045.53	Facility		$1,839.48	$1,900.21	$4,045.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $811.21 / $1,542.06	Professional		$129.19	$811.21	$1,542.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,888.00 / $4,698.00 / $7,538.00	Facility		$1,888.00	$4,698.00	$7,538.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.22 / $904.14 / $2,035.54	Professional		$570.22	$904.14	$2,035.54