Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.30 / $873.30 / $4,061.20	Facility		$376.30	$873.30	$4,061.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.30 / $532.50 / $603.50	Professional		$376.30	$532.50	$603.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $745.50 / $930.10 / $1,293.61	Professional		$745.50	$930.10	$1,293.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $426.00 / $724.20	Professional		$284.00	$426.00	$724.20