Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $4,923.00 / $10,692.00	Facility		$222.30	$4,923.00	$10,692.00
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $4,053.04 / $4,053.04 / $4,053.04	Facility	80	$4,053.04	$4,053.04	$4,053.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $213.52 / $357.95	Professional		$180.74	$213.52	$357.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,700.16 / $19,158.88 / $21,611.98	Facility		$16,700.16	$19,158.88	$21,611.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $323.20 / $1,044.30	Professional		$207.52	$323.20	$1,044.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $248.07 / $323.16 / $346.42	Professional		$248.07	$323.16	$346.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.88 / $248.44 / $625.29	Professional		$186.88	$248.44	$625.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $267.47 / $922.82	Professional		$157.03	$267.47	$922.82