Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $6,025.60 / $11,748.98	Facility		$128.82	$6,025.60	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $186.21	Professional		$43.65	$95.50	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $77.62	Professional		$67.61	$67.61	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $338.84	Professional		$50.12	$114.82	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $97.72 / $151.36	Professional		$18.20	$97.72	$151.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $741.31 / $1,174.90	Facility		$467.74	$741.31	$1,174.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $97.72 / $194.98	Professional		$38.02	$97.72	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $63.10 / $169.82	Professional		$25.12	$63.10	$169.82