Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $1,148.15 / $1,148.15	Facility		$33.11	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $1,698.24	Professional		$30.20	$47.86	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,995.26	Professional		$870.96	$1,412.54	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,288.25 / $2,137.96	Professional		$354.81	$1,288.25	$2,137.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $2,089.30	Professional		$758.58	$851.14	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $109.65	Professional		$52.48	$70.79	$109.65