Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $4,294.00 / $9,950.00	Facility		$78.59	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $120.80 / $183.03	Professional		$58.81	$120.80	$183.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.32 / $59.32 / $64.91	Facility		$59.32	$59.32	$64.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $123.23 / $285.60	Professional		$60.23	$123.23	$285.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $240.79 / $298.18	Professional		$175.51	$240.79	$298.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $140.52 / $231.73	Professional		$50.15	$140.52	$231.73
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 $78.91 / $158.43 / $375.29	Professional		$78.91	$158.43	$375.29