Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.73 / $1,368.73 / $1,368.73	Facility		$1,368.73	$1,368.73	$1,368.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.73 / $1,684.10 / $2,556.14	Professional		$1,368.73	$1,684.10	$2,556.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,696.34 / $2,696.34 / $2,696.34	Professional		$2,696.34	$2,696.34	$2,696.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $3,724.55	Facility		$2,160.07	$2,160.07	$3,724.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $3,261.35	Professional		$1,576.85	$1,576.85	$3,261.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,402.67 / $3,426.59 / $4,879.16	Professional		$3,402.67	$3,426.59	$4,879.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,545.09 / $3,724.55 / $3,724.55	Professional		$3,545.09	$3,724.55	$3,724.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,679.42 / $1,986.70 / $3,724.55	Professional		$1,679.42	$1,986.70	$3,724.55