Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,511.38 / $14,125.38	Facility		$4,365.16	$8,511.38	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,754.23	Professional		$812.83	$1,122.02	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,630.27	Professional		$831.76	$1,258.93	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,513.56	Professional		$870.96	$1,174.90	$1,513.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,754.23 / $25,703.96	Facility		$158.49	$2,754.23	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,290.87	Professional		$758.58	$1,071.52	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,413.10 / $15,135.61	Facility		$3,311.31	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,995.26	Professional		$812.83	$1,096.48	$1,995.26