Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $812.83 / $3,630.78	Facility		$776.25	$812.83	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $691.83	Professional		$363.08	$489.78	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,348.96 / $1,348.96	Facility		$588.84	$1,348.96	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,318.26	Professional		$645.65	$794.33	$1,318.26
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 $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $602.56 / $1,258.93	Facility		$288.40	$602.56	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $645.65	Professional		$245.47	$363.08	$645.65