Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $10,964.78	Facility		$3,311.31	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $363.08	Professional		$66.07	$117.49	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Professional		$72.44	$72.44	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $245.47	Professional		$72.44	$112.20	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $123.03	Professional		$69.18	$93.33	$123.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $190.55	Professional		$63.10	$87.10	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $10,471.29	Facility		$1,698.24	$5,888.44	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $162.18	Professional		$64.57	$93.33	$162.18