Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.04 / $896.20 / $3,868.84	Facility		$699.04	$896.20	$3,868.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $574.91 / $777.83	Professional		$574.91	$574.91	$777.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.16 / $1,491.11 / $3,099.36	Facility		$661.16	$1,491.11	$3,099.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $541.10 / $541.10	Professional		$541.10	$541.10	$541.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $710.19 / $886.04 / $1,232.34	Professional		$710.19	$886.04	$1,232.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.87 / $405.82 / $677.38	Professional		$261.87	$405.82	$677.38