Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $6,760.83 / $11,748.98	Facility		$251.19	$6,760.83	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $645.65	Professional		$109.65	$165.96	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $204.17	Professional		$134.90	$134.90	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $467.74	Professional		$114.82	$190.55	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $275.42	Professional		$151.36	$186.21	$275.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,000.00	Facility		$398.11	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $346.74	Professional		$91.20	$162.18	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $257.04	Professional		$75.86	$125.89	$257.04