Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.60 / $885.60 / $4,118.39	Facility		$381.60	$885.60	$4,118.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $540.00 / $612.00	Professional		$381.60	$540.00	$612.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.80 / $1,587.11 / $3,299.29	Facility		$703.80	$1,587.11	$3,299.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $576.00 / $576.00	Professional		$576.00	$576.00	$576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $943.20 / $1,311.84	Professional		$756.00	$943.20	$1,311.84
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 $278.76 / $432.00 / $734.40	Professional		$278.76	$432.00	$734.40