Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,897.79 / $10,715.19	Facility		$831.76	$4,897.79	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $363.08	Professional		$114.82	$169.82	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $467.74	Professional		$131.83	$218.78	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $346.74	Professional		$194.98	$218.78	$346.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $4,466.84	Facility		$1,819.70	$2,818.38	$4,466.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $380.19	Professional		$100.00	$181.97	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $7,762.47	Facility		$1,862.09	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $309.03	Professional		$117.49	$181.97	$309.03