Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.40 / $4,540.00 / $10,692.00	Facility		$151.40	$4,540.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $168.13 / $283.22	Professional		$149.69	$168.13	$283.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $233.31 / $465.19	Professional		$144.65	$233.31	$465.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.49 / $257.74 / $314.27	Professional		$181.49	$257.74	$314.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $195.94 / $338.68	Professional		$137.72	$195.94	$338.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $178.40 / $361.97	Professional		$115.11	$178.40	$361.97