Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $4,073.80	Facility		$870.96	$891.25	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $676.08	Professional		$407.38	$549.54	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $3,090.30	Facility		$776.25	$1,479.11	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,479.11	Professional		$707.95	$912.01	$1,479.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $691.83	Professional		$537.03	$645.65	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $676.08 / $1,380.38	Facility		$316.23	$676.08	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $707.95	Professional		$269.15	$407.38	$707.95