Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $1,595.01 / $4,316.13	Facility		$719.07	$1,595.01	$4,316.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.38 / $719.07 / $719.07	Professional		$353.38	$719.07	$719.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.18 / $293.18 / $293.18	Professional		$293.18	$293.18	$293.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $569.65 / $569.65 / $1,555.00	Professional		$569.65	$569.65	$1,555.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.74 / $1,674.44 / $3,480.43	Facility		$530.74	$1,674.44	$3,480.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $811.05 / $1,329.85	Professional		$420.00	$811.05	$1,329.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.38 / $455.72 / $1,011.69	Professional		$349.38	$455.72	$1,011.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.47 / $437.47 / $457.06	Professional		$437.47	$437.47	$457.06
United Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $455.72 / $705.18	Professional		$99.68	$455.72	$705.18