Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.07 / $912.22 / $4,242.18	Facility		$393.07	$912.22	$4,242.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.07 / $556.23 / $630.39	Professional		$393.07	$556.23	$630.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $778.72 / $971.55 / $1,351.27	Professional		$778.72	$971.55	$1,351.27
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 $311.49 / $444.98 / $756.47	Professional		$311.49	$444.98	$756.47