Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $794.33 / $3,630.78	Facility		$776.25	$794.33	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $602.56	Professional		$363.08	$489.78	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,318.26 / $1,412.54	Facility		$588.84	$1,318.26	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,288.25	Professional		$630.96	$794.33	$1,288.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $602.56	Professional		$478.63	$478.63	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $602.56 / $1,230.27	Facility		$281.84	$602.56	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $630.96	Professional		$239.88	$363.08	$630.96