Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.86 / $3,827.00 / $9,784.00	Facility		$146.86	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.63 / $153.28 / $243.02	Professional		$115.63	$153.28	$243.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $207.83 / $463.59	Professional		$121.85	$207.83	$463.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $253.33 / $317.80	Professional		$176.54	$253.33	$317.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.13 / $1,238.08 / $2,514.48	Facility		$999.13	$1,238.08	$2,514.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $189.70 / $303.02	Professional		$123.56	$189.70	$303.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $185.13 / $417.85	Professional		$116.42	$185.13	$417.85