Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,884.03 / $7,762.47	Facility		$117.49	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $446.68	Professional		$64.57	$131.83	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $131.83	Professional		$87.10	$107.15	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $316.23	Professional		$72.44	$128.82	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $213.80	Professional		$109.65	$134.90	$213.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,548.82	Facility		$616.60	$977.24	$1,548.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $229.09	Professional		$54.95	$107.15	$229.09
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 $63.10 / $107.15 / $177.83	Professional		$63.10	$107.15	$177.83