Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $5,495.41 / $10,232.93	Facility		$524.81	$5,495.41	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $331.13 / $1,047.13	Professional		$147.91	$331.13	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $331.13	Professional		$154.88	$154.88	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $831.76	Professional		$177.83	$363.08	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $630.96	Professional		$251.19	$398.11	$630.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $16,218.10	Facility		$6,606.93	$10,232.93	$16,218.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $323.59 / $724.44	Professional		$125.89	$323.59	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $10,964.78	Facility		$2,951.21	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $549.54	Professional		$147.91	$295.12	$549.54