Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.86 / $6,438.00 / $12,384.00	Facility		$96.86	$6,438.00	$12,384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $88.10 / $96.86	Professional		$74.47	$88.10	$96.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $49.25 / $155.21	Facility		$41.01	$49.25	$155.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $124.90 / $274.63	Professional		$77.69	$124.90	$274.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $141.21 / $187.84	Professional		$126.89	$141.21	$187.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.74 / $2,951.45 / $5,628.74	Facility		$2,670.74	$2,951.45	$5,628.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $61.23 / $225.14	Professional		$48.37	$61.23	$225.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,844.00 / $11,599.00	Facility		$2,468.00	$4,844.00	$11,599.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $89.51 / $200.77	Professional		$66.89	$89.51	$200.77