Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.00 / $6,325.00 / $11,298.00	Facility		$372.00	$6,325.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $351.62 / $374.08	Professional		$311.77	$351.62	$374.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.71 / $170.19 / $510.07	Facility		$141.71	$170.19	$510.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.91 / $485.63 / $1,083.81	Professional		$320.91	$485.63	$1,083.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $554.59 / $617.19 / $4,874.20	Professional		$554.59	$617.19	$4,874.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,379.20 / $17,767.72 / $20,975.05	Facility		$15,379.20	$17,767.72	$20,975.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $268.79 / $473.18	Professional		$113.59	$268.79	$473.18
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.64 / $449.89 / $3,072.02	Professional		$317.64	$449.89	$3,072.02