Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.83 / $4,676.00 / $9,284.00	Facility		$233.83	$4,676.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $194.85 / $257.37	Professional		$134.53	$194.85	$257.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $266.69 / $588.50	Professional		$140.32	$266.69	$588.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,296.41 / $6,701.56 / $13,270.03	Facility		$6,296.41	$6,701.56	$13,270.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $180.33 / $541.92	Professional		$118.75	$180.33	$541.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $222.81 / $516.09	Professional		$126.37	$222.81	$516.09