Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $3,225.00 / $9,125.00	Facility		$72.03	$3,225.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $197.08 / $345.22	Professional		$72.95	$197.08	$345.22
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 $80.66 / $233.85 / $569.48	Professional		$80.66	$233.85	$569.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.95 / $380.85 / $501.76	Professional		$280.95	$380.85	$501.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,667.30 / $6,667.30 / $14,457.95	Facility		$6,667.30	$6,667.30	$14,457.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $235.69 / $420.95	Professional		$74.06	$235.69	$420.95
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 $158.07 / $263.45 / $631.51	Professional		$158.07	$263.45	$631.51