Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,456.54 / $10,715.19	Facility		$1,584.89	$6,456.54	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,023.29 / $2,398.83	Professional		$208.93	$1,023.29	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $630.96 / $3,162.28	Professional		$239.88	$630.96	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,513.56 / $2,398.83	Professional		$346.74	$1,513.56	$2,398.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,258.93 / $2,691.53	Professional		$169.82	$1,258.93	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $794.33 / $2,454.71	Professional		$165.96	$794.33	$2,454.71