Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $12,022.64 / $12,022.64	Facility		$199.53	$12,022.64	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $2,951.21	Professional		$223.87	$309.03	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $602.56	Facility		$309.03	$363.08	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $870.96	Professional		$389.05	$630.96	$870.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $363.08 / $602.56	Facility		$190.55	$363.08	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $457.09	Professional		$245.47	$295.12	$457.09