Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.57 / $4,174.00 / $9,784.00	Facility		$268.57	$4,174.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $268.57 / $700.31	Professional		$180.68	$268.57	$700.31
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 $177.15 / $475.47 / $1,193.74	Professional		$177.15	$475.47	$1,193.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $559.91 / $759.00 / $1,004.36	Professional		$559.91	$759.00	$1,004.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,389.71 / $2,866.57 / $6,216.17	Facility		$2,389.71	$2,866.57	$6,216.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $513.39 / $963.97	Professional		$171.28	$513.39	$963.97
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 $407.85 / $633.03 / $1,375.06	Professional		$407.85	$633.03	$1,375.06