Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $4,326.00 / $9,950.00	Facility		$145.59	$4,326.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $212.61 / $354.80	Professional		$106.90	$212.61	$354.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.69 / $322.69 / $322.69	Professional		$322.69	$322.69	$322.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $250.14 / $597.34	Professional		$95.89	$250.14	$597.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.80 / $332.72 / $782.69	Professional		$260.80	$332.72	$782.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.50 / $699.94 / $1,385.98	Facility		$586.50	$699.94	$1,385.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $256.52 / $414.00	Professional		$95.79	$256.52	$414.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $281.35 / $537.90	Professional		$89.40	$281.35	$537.90