Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.39 / $5,109.00 / $9,842.00	Facility		$198.39	$5,109.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $179.86 / $237.38	Professional		$132.58	$179.86	$237.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $260.00 / $538.79	Professional		$142.79	$260.00	$538.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $301.62 / $370.62	Professional		$229.55	$301.62	$370.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,564.34 / $4,796.64 / $10,114.81	Facility		$4,564.34	$4,796.64	$10,114.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $201.20 / $327.02	Professional		$114.57	$201.20	$327.02
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 $143.12 / $216.71 / $450.44	Professional		$143.12	$216.71	$450.44