Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.08 / $4,174.00 / $9,125.00	Facility		$127.08	$4,174.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $217.07 / $312.55	Professional		$86.01	$217.07	$312.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.68 / $168.68 / $168.68	Facility		$168.68	$168.68	$168.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $303.83 / $768.12	Professional		$113.28	$303.83	$768.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $384.47 / $473.38	Professional		$178.48	$384.47	$473.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.43 / $1,547.88 / $3,262.23	Facility		$1,380.43	$1,547.88	$3,262.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $251.26 / $453.24	Professional		$82.16	$251.26	$453.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $3,488.00 / $7,273.00	Facility		$1,423.00	$3,488.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $279.33 / $608.23	Professional		$151.52	$279.33	$608.23