Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $3,979.00 / $9,383.00	Facility		$122.36	$3,979.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $175.09 / $271.24	Professional		$87.00	$175.09	$271.24
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 $88.13 / $201.64 / $460.00	Professional		$88.13	$201.64	$460.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $150.15 / $354.54	Professional		$42.00	$150.15	$354.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,421.38 / $6,667.30 / $14,457.95	Facility		$6,421.38	$6,667.30	$14,457.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $185.53 / $322.56	Professional		$77.64	$185.53	$322.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,188.00 / $10,536.00	Facility		$3,885.00	$7,188.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $191.88 / $436.88	Professional		$130.32	$191.88	$436.88