Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.59 / $4,294.00 / $9,950.00	Facility		$188.59	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $209.17 / $394.10	Professional		$144.49	$209.17	$394.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $235.96 / $493.57	Professional		$124.06	$235.96	$493.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $342.80 / $389.92	Professional		$252.88	$342.80	$389.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.75 / $1,104.38 / $2,106.33	Facility		$809.75	$1,104.38	$2,106.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $249.53 / $369.06	Professional		$159.74	$249.53	$369.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $247.40 / $468.86	Professional		$140.00	$247.40	$468.86