Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $4,775.00	Facility		$250.00	$250.00	$4,775.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $240.00 / $250.00	Professional		$168.33	$240.00	$250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.00 / $1,280.00 / $1,280.00	Facility		$1,280.00	$1,280.00	$1,280.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $301.47 / $398.90	Professional		$187.02	$301.47	$398.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.94 / $380.40 / $8,702.00	Facility		$95.94	$380.40	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $155.50 / $182.94	Professional		$129.80	$155.50	$182.94
United Facility/Professional Professional Modifier Low / Median / High Price $100.59 / $207.70 / $358.62	Professional		$100.59	$207.70	$358.62