Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,570.88 / $10,471.29	Facility		$1,000.00	$4,570.88	$10,471.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $2,630.27 / $6,760.83	Facility	50	$1,584.89	$2,630.27	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $407.38	Professional		$56.23	$104.71	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $281.84 / $630.96	Professional	50	$109.65	$281.84	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Professional		$74.13	$74.13	$77.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $104.71 / $114.82	Professional	50	$104.71	$104.71	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $281.84	Professional		$61.66	$112.20	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $138.04	Professional		$69.18	$100.00	$138.04
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 $42.66 / $81.28 / $316.23	Professional		$42.66	$81.28	$316.23
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 $43.65 / $83.18 / $177.83	Professional		$43.65	$83.18	$177.83