Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,495.41 / $10,000.00	Facility		$2,344.23	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $831.76	Professional		$194.98	$257.04	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Professional		$208.93	$208.93	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $707.95	Professional		$194.98	$316.23	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $346.74	Professional		$194.98	$263.03	$346.74
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 $169.82 / $257.04 / $512.86	Professional		$169.82	$257.04	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,709.64	Facility		$2,570.40	$5,128.61	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $457.09	Professional		$141.25	$208.93	$457.09