Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.93 / $4,294.00 / $9,860.00	Facility		$63.93	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $154.25 / $220.93	Professional		$41.73	$154.25	$220.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $194.57 / $570.70	Professional		$54.59	$194.57	$570.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $277.77 / $341.86	Professional		$88.94	$277.77	$341.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $191.02 / $335.10	Professional		$41.69	$191.02	$335.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $236.56 / $469.26	Professional		$109.86	$236.56	$469.26