Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.58 / $4,791.00 / $10,692.00	Facility		$168.58	$4,791.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $126.58 / $189.76	Professional		$115.86	$126.58	$189.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.65 / $131.65 / $139.13	Facility		$131.65	$131.65	$139.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $171.57 / $304.10	Professional		$102.94	$171.57	$304.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $196.20 / $247.06	Professional		$146.82	$196.20	$247.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $134.06 / $228.92	Professional		$108.10	$134.06	$228.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $146.52 / $263.67	Professional		$107.28	$146.52	$263.67