Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.67 / $4,540.00 / $10,871.00	Facility		$101.67	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $111.69 / $188.60	Professional		$99.92	$111.69	$188.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $154.27 / $311.63	Professional		$95.42	$154.27	$311.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $170.85 / $208.16	Professional		$120.04	$170.85	$208.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $128.46 / $225.38	Professional		$89.07	$128.46	$225.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,627.00 / $6,590.00 / $10,536.00	Facility		$1,627.00	$6,590.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $125.42 / $261.70	Professional		$77.36	$125.42	$261.70