Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.35 / $4,174.00 / $9,842.00	Facility		$107.35	$4,174.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $109.28 / $174.41	Professional		$77.17	$109.28	$174.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $154.34 / $324.88	Professional		$87.19	$154.34	$324.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $190.47 / $233.15	Professional		$145.31	$190.47	$233.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.04 / $868.04 / $1,060.57	Facility		$471.04	$868.04	$1,060.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $120.31 / $202.28	Professional		$69.45	$120.31	$202.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $161.16 / $264.72	Professional		$113.07	$161.16	$264.72