Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $8,317.64 / $12,882.50	Facility		$3,801.89	$8,317.64	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $5,248.07	Professional		$1,258.93	$1,621.81	$5,248.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $4,265.80	Professional		$1,047.13	$1,737.80	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,778.28	Professional		$1,148.15	$1,348.96	$1,778.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $15,848.93 / $26,302.68	Facility		$10,232.93	$15,848.93	$26,302.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,311.31	Professional		$1,096.48	$1,621.81	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,709.64 / $21,379.62	Facility		$3,890.45	$8,709.64	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,818.38	Professional		$954.99	$1,479.11	$2,818.38