Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.59 / $4,049.00 / $9,784.00	Facility		$103.59	$4,049.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.05 / $164.19 / $238.08	Professional		$79.05	$164.19	$238.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $204.27 / $483.11	Professional		$88.68	$204.27	$483.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.36 / $271.60 / $358.21	Professional		$200.36	$271.60	$358.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.48 / $2,062.60 / $2,591.61	Facility		$1,839.48	$2,062.60	$2,591.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $188.58 / $329.19	Professional		$75.36	$188.58	$329.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $217.29 / $470.44	Professional		$140.52	$217.29	$470.44