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 / $432.00 / $612.00	Professional		$381.60	$432.00	$612.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.80 / $1,063.69 / $2,267.48	Facility		$703.80	$1,063.69	$2,267.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $790.02 / $1,034.05	Professional		$381.60	$790.02	$1,034.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $360.00 / $432.00	Professional		$288.00	$360.00	$432.00
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
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $576.00 / $576.00	Professional		$576.00	$576.00	$576.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $432.00 / $734.40	Professional		$288.00	$432.00	$734.40