Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.75 / $4,189.00 / $8,155.00	Facility		$210.75	$4,189.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $252.93 / $500.24	Professional		$157.69	$252.93	$500.24
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 $187.29 / $398.88 / $876.63	Professional		$187.29	$398.88	$876.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.54 / $553.42 / $679.81	Professional		$308.54	$553.42	$679.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.14 / $4,506.66 / $10,799.81	Facility		$4,019.14	$4,506.66	$10,799.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $350.12 / $538.09	Professional		$137.18	$350.12	$538.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.93 / $370.64 / $845.38	Professional		$255.93	$370.64	$845.38