Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $2,677.00 / $9,125.00	Facility		$89.47	$2,677.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $226.90 / $387.28	Professional		$89.47	$226.90	$387.28
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 $97.71 / $257.87 / $625.79	Professional		$97.71	$257.87	$625.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $339.99 / $460.88 / $603.91	Professional		$339.99	$460.88	$603.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,033.17 / $6,667.30 / $12,715.20	Facility		$6,033.17	$6,667.30	$12,715.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $287.17 / $515.16	Professional		$86.98	$287.17	$515.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $5,579.00 / $10,105.00	Facility		$2,340.00	$5,579.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $319.88 / $707.65	Professional		$186.78	$319.88	$707.65