Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $4,677.35 / $10,715.19	Facility		$218.78	$4,677.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $489.78	Professional		$107.15	$158.49	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $199.53	Professional		$102.33	$102.33	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $512.86	Professional		$123.03	$204.17	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $295.12	Professional		$147.91	$213.80	$295.12
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 $95.50 / $177.83 / $524.81	Professional		$95.50	$177.83	$524.81
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 $91.20 / $165.96 / $331.13	Professional		$91.20	$165.96	$331.13