Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.43 / $4,118.00 / $9,842.00	Facility		$59.43	$4,118.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $69.84 / $104.96	Professional		$47.22	$69.84	$104.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $104.27 / $257.64	Professional		$58.36	$104.27	$257.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $90.34 / $109.90	Professional		$65.05	$90.34	$109.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $77.48 / $165.68	Professional		$41.10	$77.48	$165.68
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 $63.40 / $102.80 / $216.36	Professional		$63.40	$102.80	$216.36