Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.80 / $1,007.00 / $4,347.20	Facility		$402.80	$1,007.00	$4,347.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $592.79 / $646.00	Professional		$402.80	$592.79	$646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.90 / $1,122.70 / $2,393.39	Facility		$742.90	$1,122.70	$2,393.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $995.60 / $1,384.72	Professional		$532.00	$995.60	$1,384.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $532.00 / $8,702.00	Facility		$532.00	$532.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $532.00 / $532.00	Professional		$532.00	$532.00	$532.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $456.00 / $775.20	Professional		$304.00	$456.00	$775.20