Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $4,294.00 / $9,950.00	Facility		$99.67	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $94.13 / $126.33	Professional		$73.06	$94.13	$126.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $95.38 / $99.29	Facility		$95.38	$95.38	$99.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $114.47 / $212.79	Professional		$76.59	$114.47	$212.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $169.71 / $213.14	Professional		$125.18	$169.71	$213.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $105.25 / $168.27	Professional		$64.73	$105.25	$168.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $103.58 / $211.24	Professional		$66.97	$103.58	$211.24