Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.50 / $1,258.75 / $5,434.00	Facility		$503.50	$1,258.75	$5,434.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $741.00 / $807.50	Professional		$503.50	$741.00	$807.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $928.63 / $2,093.77 / $4,353.22	Facility		$928.63	$2,093.77	$4,353.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $555.75 / $555.75	Professional		$555.75	$555.75	$555.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $997.50 / $1,244.50 / $1,730.90	Professional		$997.50	$1,244.50	$1,730.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $570.00 / $969.00	Professional		$394.24	$570.00	$969.00