Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.85 / $4,477.00 / $9,950.00	Facility		$156.85	$4,477.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $130.00 / $219.00	Professional		$119.10	$130.00	$219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $186.91 / $360.52	Professional		$111.55	$186.91	$360.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $197.77 / $241.08	Professional		$139.16	$197.77	$241.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $152.08 / $267.93	Professional		$105.64	$152.08	$267.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $138.56 / $306.95	Professional		$89.84	$138.56	$306.95