Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.00 / $5,192.00 / $10,692.00	Facility		$1,715.00	$5,192.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.97 / $2.54	Professional		$1.59	$1.97	$2.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $11.17 / $25.69	Facility		$2.10	$11.17	$25.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.58 / $9.38	Professional		$1.44	$1.58	$9.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.55 / $5.45	Professional		$3.64	$4.55	$5.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.00 / $8,702.00 / $15,719.00	Facility		$3,243.00	$8,702.00	$15,719.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $3.18 / $5.45	Professional		$1.44	$3.18	$5.45