Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $4,466.84	Facility		$575.44	$2,691.53	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $741.31	Professional		$489.78	$575.44	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $891.25 / $1,862.09	Professional		$398.11	$891.25	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,288.25	Professional		$891.25	$1,096.48	$1,288.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,513.56 / $2,290.87	Facility		$870.96	$1,513.56	$2,290.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,348.96	Professional		$416.87	$616.60	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,548.82	Facility		$724.44	$1,288.25	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,148.15	Professional		$407.38	$588.84	$1,148.15