Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,466.84 / $10,232.93	Facility		$741.31	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $616.60	Professional		$107.15	$177.83	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $177.83	Professional		$162.18	$162.18	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $549.54	Professional		$128.82	$223.87	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $331.13	Professional		$165.96	$239.88	$331.13
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 $97.72 / $199.53 / $575.44	Professional		$97.72	$199.53	$575.44
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 $95.50 / $177.83 / $354.81	Professional		$95.50	$177.83	$354.81