Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $4,301.00 / $9,842.00	Facility		$279.39	$4,301.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.43 / $268.57 / $388.21	Professional		$225.43	$268.57	$388.21
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 $183.55 / $343.77 / $595.16	Professional		$183.55	$343.77	$595.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.92 / $341.21 / $419.41	Professional		$253.92	$341.21	$419.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,788.75 / $2,134.80 / $4,501.68	Facility		$1,788.75	$2,134.80	$4,501.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $267.50 / $502.53	Professional		$188.85	$267.50	$502.53
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 $159.51 / $247.82 / $548.78	Professional		$159.51	$247.82	$548.78