Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.53 / $3,285.00 / $9,784.00	Facility		$127.53	$3,285.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $139.65 / $203.35	Professional		$104.10	$139.65	$203.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.67 / $185.67 / $185.67	Professional		$185.67	$185.67	$185.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $211.56 / $507.97	Professional		$128.22	$211.56	$507.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $208.90 / $261.93	Professional		$146.63	$208.90	$261.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,543.02 / $1,683.65 / $3,650.97	Facility		$1,543.02	$1,683.65	$3,650.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $164.79 / $330.36	Professional		$104.83	$164.79	$330.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $201.37 / $385.10	Professional		$122.92	$201.37	$385.10