Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $4,570.88	Facility		$2,570.40	$3,162.28	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $5,248.07	Professional		$2,041.74	$2,398.83	$5,248.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $7,585.78	Professional		$2,238.72	$3,311.31	$7,585.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,786.30	Professional		$2,290.87	$2,691.53	$4,786.30
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 $2,137.96 / $2,630.27 / $4,570.88	Professional		$2,137.96	$2,630.27	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $10,471.29	Facility		$1,513.56	$4,897.79	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,897.79	Professional		$1,862.09	$2,818.38	$4,897.79