Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.15 / $949.54 / $4,415.72	Facility		$409.15	$949.54	$4,415.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.15 / $463.19 / $656.18	Professional		$409.15	$463.19	$656.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.61 / $1,701.86 / $3,537.48	Facility		$754.61	$1,701.86	$3,537.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.15 / $847.06 / $1,108.91	Professional		$409.15	$847.06	$1,108.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.79 / $385.99 / $463.19	Professional		$308.79	$385.99	$463.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $540.39 / $8,702.00	Facility		$85.83	$540.39	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.78 / $694.78 / $694.78	Professional		$694.78	$694.78	$694.78
United Facility/Professional Professional Modifier Low / Median / High Price $270.19 / $463.19 / $791.28	Professional		$270.19	$463.19	$791.28