Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $775.00 / $3,345.63	Facility		$310.00	$775.00	$3,345.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $456.22 / $497.17	Professional		$310.00	$456.22	$497.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.74 / $1,289.03 / $2,680.22	Facility		$571.74	$1,289.03	$2,680.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $467.92 / $467.92	Professional		$467.92	$467.92	$467.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.15 / $766.22 / $1,065.69	Professional		$614.15	$766.22	$1,065.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $6,950.00 / $8,702.00	Facility		$6,950.00	$6,950.00	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $350.94 / $631.69	Professional		$233.96	$350.94	$631.69