Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.85 / $1,605.61 / $7,466.72	Facility		$691.85	$1,605.61	$7,466.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.85 / $783.22 / $1,109.56	Professional		$691.85	$783.22	$1,109.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.00 / $1,928.57 / $4,110.28	Facility		$1,276.00	$1,928.57	$4,110.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,432.32 / $1,500.02 / $1,875.02	Professional		$1,432.32	$1,500.02	$1,875.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $522.15 / $652.69 / $783.22	Professional		$522.15	$652.69	$783.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.70 / $8,702.00 / $12,381.00	Facility		$2,009.70	$8,702.00	$12,381.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.30 / $1,044.30 / $1,044.30	Professional		$1,044.30	$1,044.30	$1,044.30
United Facility/Professional Professional Modifier Low / Median / High Price $456.88 / $783.22 / $1,338.00	Professional		$456.88	$783.22	$1,338.00