Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,677.35 / $10,232.93	Facility		$407.38	$4,677.35	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $6,165.95 / $8,912.51	Facility	50	$2,630.27	$6,165.95	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $1,000.00	Professional		$125.89	$269.15	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $398.11 / $1,318.26	Professional	50	$186.21	$398.11	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $295.12	Professional		$138.04	$144.54	$295.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $758.58	Professional		$134.90	$288.40	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $478.63	Professional		$245.47	$354.81	$478.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,570.88	Facility		$1,819.70	$2,884.03	$4,570.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $275.42 / $870.96	Professional		$104.71	$275.42	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $7,762.47	Facility		$1,862.09	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $501.19	Professional		$100.00	$229.09	$501.19