Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $4,174.00 / $9,842.00	Facility		$48.14	$4,174.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $92.49 / $138.91	Professional		$29.26	$92.49	$138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $106.99 / $352.46	Professional		$31.88	$106.99	$352.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $152.75 / $187.76	Professional		$56.28	$152.75	$187.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.13 / $1,192.42 / $2,684.77	Facility		$999.13	$1,192.42	$2,684.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $92.50 / $174.61	Professional		$24.91	$92.50	$174.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $103.10 / $248.57	Professional		$69.53	$103.10	$248.57