Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,073.80 / $9,120.11	Facility		$691.83	$4,073.80	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $4,677.35 / $9,120.11	Facility	50	$1,258.93	$4,677.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,348.96	Professional		$194.98	$436.52	$1,348.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $660.69 / $2,691.53	Professional	50	$275.42	$660.69	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $457.09	Professional		$239.88	$426.58	$457.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $630.96 / $812.83	Professional	50	$302.00	$630.96	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $478.63 / $1,148.15	Professional		$234.42	$478.63	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,174.90	Professional		$407.38	$602.56	$1,174.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,309.57 / $10,000.00	Facility		$3,981.07	$6,309.57	$10,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $1,479.11	Professional		$177.83	$446.68	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,606.93 / $10,964.78	Facility		$2,884.03	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $398.11 / $870.96	Professional		$173.78	$398.11	$870.96