Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $717.00 / $2,371.08	Facility		$383.00	$717.00	$2,371.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $570.79 / $786.45	Professional		$531.34	$570.79	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $455.43	Professional		$455.43	$455.43	$455.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $768.77 / $1,381.00	Professional		$417.48	$768.77	$1,381.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.00 / $1,672.99 / $3,478.23	Facility		$698.00	$1,672.99	$3,478.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $716.37 / $1,367.53	Professional		$402.30	$716.37	$1,367.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $607.24 / $1,011.05	Professional		$349.16	$607.24	$1,011.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.00 / $13,785.00 / $13,785.00	Facility		$3,243.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.55 / $561.63 / $641.86	Professional		$537.55	$561.63	$641.86
United Facility/Professional Facility Modifier Low / Median / High Price $417.48 / $417.48 / $417.48	Facility		$417.48	$417.48	$417.48
United Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $455.43 / $802.33	Professional		$303.62	$455.43	$802.33