Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.72 / $3,194.97 / $8,155.00	Facility		$266.72	$3,194.97	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.34 / $288.76 / $517.26	Professional		$197.34	$288.76	$517.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.63 / $413.27 / $824.49	Professional		$257.63	$413.27	$824.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $401.20 / $584.46 / $715.63	Professional		$401.20	$584.46	$715.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,380.51 / $6,421.38 / $11,833.25	Facility		$5,380.51	$6,421.38	$11,833.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.06 / $409.13 / $654.63	Professional		$305.06	$409.13	$654.63
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 $219.80 / $374.25 / $814.21	Professional		$219.80	$374.25	$814.21