Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.42 / $4,540.00 / $9,950.00	Facility		$405.42	$4,540.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $338.89 / $405.42	Professional		$103.72	$338.89	$405.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.09 / $456.09 / $456.09	Professional		$456.09	$456.09	$456.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.39 / $392.92 / $700.25	Professional		$284.39	$392.92	$700.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $368.11 / $783.10	Professional		$34.10	$368.11	$783.10