Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,365.16 / $12,302.69	Facility		$537.03	$4,365.16	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $6,918.31	Facility	50	$1,348.96	$1,348.96	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $446.68	Professional		$56.23	$109.65	$446.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $338.84 / $346.74	Professional	50	$199.53	$338.84	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $79.43	Professional		$54.95	$67.61	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $331.13	Professional		$64.57	$123.03	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $229.09	Professional		$79.43	$165.96	$229.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $3,548.13	Facility		$1,412.54	$2,238.72	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $100.00 / $380.19	Professional		$41.69	$100.00	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $204.17	Professional		$46.77	$91.20	$204.17