Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.88 / $4,301.00 / $9,842.00	Facility		$142.88	$4,301.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $120.42 / $196.45	Professional		$108.19	$120.42	$196.45
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 $97.90 / $168.38 / $374.59	Professional		$97.90	$168.38	$374.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $182.24 / $220.41	Professional		$126.90	$182.24	$220.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,679.31 / $11,679.31 / $27,600.47	Facility		$11,679.31	$11,679.31	$27,600.47
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $135.08 / $244.32	Professional		$93.42	$135.08	$244.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,066.00 / $6,452.00 / $11,243.00	Facility		$3,066.00	$6,452.00	$11,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $127.48 / $274.50	Professional		$78.20	$127.48	$274.50