Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.78 / $5,486.00 / $9,950.00	Facility		$233.78	$5,486.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $188.85 / $289.23	Professional		$165.38	$188.85	$289.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $190.76 / $193.03	Facility		$190.76	$190.76	$193.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $238.00 / $431.69	Professional		$172.47	$238.00	$431.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.82 / $285.08 / $364.03	Professional		$213.82	$285.08	$364.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $185.28 / $339.65	Professional		$151.44	$185.28	$339.65
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 $132.35 / $194.52 / $389.99	Professional		$132.35	$194.52	$389.99