Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $1,283.00 / $3,784.00	Facility		$594.00	$1,283.00	$3,784.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $415.00 / $415.00	Facility		$415.00	$415.00	$415.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $557.00 / $2,300.10	Facility		$392.00	$557.00	$2,300.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $338.00 / $338.00	Facility		$338.00	$338.00	$338.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $568.00 / $1,182.00	Facility		$475.00	$568.00	$1,182.00
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $1,943.00 / $9,401.00	Facility		$796.00	$1,943.00	$9,401.00