Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.29 / $1,513.22 / $6,532.58	Facility		$605.29	$1,513.22	$6,532.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.29 / $890.81 / $970.75	Professional		$605.29	$890.81	$970.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.35 / $1,444.71 / $3,852.42	Facility		$1,116.35	$1,444.71	$3,852.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $1,496.10 / $2,080.83	Professional		$799.44	$1,496.10	$2,080.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.44 / $799.44 / $8,702.00	Facility		$799.44	$799.44	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $799.44 / $799.44	Professional		$799.44	$799.44	$799.44
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $685.24 / $1,164.90	Professional		$479.67	$685.24	$1,164.90