Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $10,715.19	Facility		$2,290.87	$5,370.32	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $489.78	Professional		$79.43	$173.78	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $100.00	Professional		$64.57	$70.79	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $109.65	Facility		$89.13	$89.13	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $416.87	Professional		$89.13	$186.21	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $363.08	Professional		$213.80	$295.12	$363.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $199.53 / $537.03	Professional		$77.62	$199.53	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $389.05	Professional		$79.43	$181.97	$389.05