Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.80 / $1,007.00 / $4,347.20	Facility		$402.80	$1,007.00	$4,347.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $592.79 / $646.00	Professional		$402.80	$592.79	$646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.90 / $1,675.16 / $3,482.59	Facility		$742.90	$1,675.16	$3,482.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $608.00	Professional		$608.00	$608.00	$608.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $995.60 / $1,384.72	Professional		$798.00	$995.60	$1,384.72
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 Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.39 / $456.00 / $775.20	Professional		$315.39	$456.00	$775.20