Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.69 / $4,118.00 / $10,202.00	Facility		$51.69	$4,118.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $101.99 / $164.84	Professional		$60.67	$101.99	$164.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $61.43 / $61.43	Professional		$61.43	$61.43	$61.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $65.08 / $65.91	Facility		$65.08	$65.08	$65.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $119.50 / $222.88	Professional		$62.85	$119.50	$222.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $203.81 / $253.76	Professional		$148.84	$203.81	$253.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $119.73 / $183.95	Professional		$51.50	$119.73	$183.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $136.83 / $295.73	Professional		$91.00	$136.83	$295.73