Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,000.00 / $4,466.84	Facility		$954.99	$1,000.00	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $891.25	Professional		$407.38	$602.56	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,659.59 / $1,778.28	Facility		$741.31	$1,659.59	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,148.15	Professional		$831.76	$912.01	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $446.68	Professional		$302.00	$354.81	$446.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $27,542.29	Facility		$134.90	$10,471.29	$27,542.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $602.56	Professional		$446.68	$489.78	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $758.58 / $1,548.82	Facility		$354.81	$758.58	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $776.25	Professional		$302.00	$446.68	$776.25