Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $11,748.98	Facility		$2,290.87	$6,456.54	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,698.24 / $5,888.44	Professional		$239.88	$1,698.24	$5,888.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $295.12	Professional		$204.17	$229.09	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,862.09 / $4,897.79	Professional		$295.12	$1,862.09	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $2,454.71 / $3,801.89	Professional		$407.38	$2,454.71	$3,801.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $16,595.87 / $25,118.86	Facility		$10,232.93	$16,595.87	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,819.70 / $4,073.80	Professional		$199.53	$1,819.70	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,762.47 / $15,135.61	Facility		$3,630.78	$7,762.47	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,288.25 / $3,388.44	Professional		$245.47	$1,288.25	$3,388.44