Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,570.88 / $10,000.00	Facility		$741.31	$4,570.88	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $6,309.57 / $9,549.93	Facility	50	$1,348.96	$6,309.57	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $363.08 / $1,148.15	Professional		$97.72	$363.08	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $323.59 / $323.59	Professional	50	$141.25	$323.59	$323.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	50	$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $457.09 / $1,230.27	Professional		$112.20	$457.09	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $691.83 / $1,071.52	Professional		$165.96	$691.83	$1,071.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,606.93 / $10,471.29	Facility		$4,265.80	$6,606.93	$10,471.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $524.81 / $1,122.02	Professional		$81.28	$524.81	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $7,943.28	Facility		$1,862.09	$3,801.89	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $346.74 / $977.24	Professional		$77.62	$346.74	$977.24