Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.25 / $6,396.00 / $11,298.00	Facility		$298.25	$6,396.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $257.63 / $402.26	Professional		$198.59	$257.63	$402.26
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 $221.07 / $371.76 / $761.43	Professional		$221.07	$371.76	$761.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $364.54 / $434.86	Professional		$268.79	$364.54	$434.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,385.14 / $14,882.11 / $17,029.74	Facility		$8,385.14	$14,882.11	$17,029.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.85 / $268.31 / $484.29	Professional		$193.85	$268.31	$484.29
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $268.17 / $538.87	Professional		$174.76	$268.17	$538.87