Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.76 / $3,827.00 / $9,284.00	Facility		$141.76	$3,827.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $145.50 / $250.74	Professional		$103.04	$145.50	$250.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $190.60 / $435.00	Professional		$112.28	$190.60	$435.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $240.00 / $316.45	Professional		$164.63	$240.00	$316.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,002.18 / $3,601.29 / $7,809.33	Facility		$3,002.18	$3,601.29	$7,809.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $168.04 / $278.52	Professional		$103.74	$168.04	$278.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $3,321.00 / $5,864.00	Facility		$1,438.00	$3,321.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $166.79 / $356.20	Professional		$108.30	$166.79	$356.20