Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.50 / $993.75 / $4,290.00	Facility		$397.50	$993.75	$4,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $492.23 / $637.50	Professional		$397.50	$492.23	$637.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $733.13 / $1,107.71 / $2,361.38	Facility		$733.13	$1,107.71	$2,361.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $861.93 / $1,077.41	Professional		$397.50	$861.93	$1,077.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $375.00 / $450.00	Professional		$300.00	$375.00	$450.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $8,702.00	Facility		$525.00	$525.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Professional		$525.00	$525.00	$525.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.38 / $450.00 / $768.75	Professional		$290.38	$450.00	$768.75