Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,888.44 / $10,715.19	Facility		$1,348.96	$5,888.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $131.83	Professional		$33.11	$46.77	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $66.07 / $162.18	Professional		$35.48	$66.07	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $77.62	Professional		$39.81	$56.23	$77.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,513.56	Facility		$602.56	$954.99	$1,513.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $177.83	Professional		$33.11	$51.29	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $109.65	Professional		$26.92	$48.98	$109.65