Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,165.95 / $10,471.29	Facility		$1,737.80	$6,165.95	$10,471.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $5,370.32 / $9,549.93	Facility	50	$1,737.80	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $3,019.95	Professional		$141.25	$218.78	$3,019.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $512.86 / $3,630.78	Professional	50	$251.19	$512.86	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $1,148.15	Professional		$154.88	$154.88	$1,148.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $263.03 / $1,737.80	Professional	50	$229.09	$263.03	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $562.34	Professional		$123.03	$257.04	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $275.42	Professional		$151.36	$208.93	$275.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,585.78	Facility		$3,162.28	$4,786.30	$7,585.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $398.11	Professional		$125.89	$190.55	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,511.38	Facility		$2,570.40	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $309.03	Professional		$81.28	$147.91	$309.03