Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $5,982.00 / $11,298.00	Facility		$254.00	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $254.00 / $276.61	Professional		$214.80	$254.00	$276.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.76 / $355.22 / $736.08	Professional		$227.76	$355.22	$736.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $380.26 / $423.19	Professional		$347.13	$380.26	$423.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.44 / $237.30 / $478.47	Professional		$187.44	$237.30	$478.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,846.00 / $7,273.00 / $10,536.00	Facility		$1,846.00	$7,273.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.29 / $272.82 / $638.52	Professional		$208.29	$272.82	$638.52