Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.64 / $3,870.00 / $9,383.00	Facility		$169.64	$3,870.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $249.20 / $377.94	Professional		$129.25	$249.20	$377.94
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 $136.94 / $324.55 / $729.92	Professional		$136.94	$324.55	$729.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $311.35 / $422.05 / $558.79	Professional		$311.35	$422.05	$558.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,844.73 / $4,611.96 / $5,243.67	Facility		$3,844.73	$4,611.96	$5,243.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $285.12 / $503.15	Professional		$121.50	$285.12	$503.15
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 $222.09 / $322.47 / $690.36	Professional		$222.09	$322.47	$690.36