Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.68 / $4,174.00 / $9,125.00	Facility		$451.68	$4,174.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $451.69 / $1,024.39	Professional		$234.60	$451.69	$1,024.39
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 $227.83 / $608.45 / $1,663.51	Professional		$227.83	$608.45	$1,663.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $825.88 / $1,119.52 / $1,477.82	Professional		$825.88	$1,119.52	$1,477.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.34 / $2,389.71 / $3,259.23	Facility		$2,313.34	$2,389.71	$3,259.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.55 / $722.18 / $1,321.61	Professional		$220.55	$722.18	$1,321.61
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 $298.39 / $775.14 / $1,741.30	Professional		$298.39	$775.14	$1,741.30