Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $10,715.19	Facility		$3,467.37	$5,888.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $354.81 / $870.96	Professional		$158.49	$354.81	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $407.38 / $1,000.00	Professional		$169.82	$407.38	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $257.04 / $562.34	Professional		$89.13	$257.04	$562.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,606.93 / $10,471.29	Facility		$4,168.69	$6,606.93	$10,471.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $380.19 / $831.76	Professional		$131.83	$380.19	$831.76
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 $125.89 / $288.40 / $707.95	Professional		$125.89	$288.40	$707.95