Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.85 / $1,049.63 / $4,531.21	Facility		$419.85	$1,049.63	$4,531.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.85 / $519.90 / $673.35	Professional		$419.85	$519.90	$673.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.35 / $1,002.10 / $2,671.74	Facility		$774.35	$1,002.10	$2,671.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.85 / $910.25 / $1,137.82	Professional		$419.85	$910.25	$1,137.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $396.09 / $475.30	Professional		$316.87	$396.09	$475.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $554.52 / $8,702.00	Facility		$554.52	$554.52	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.52 / $554.52 / $554.52	Professional		$554.52	$554.52	$554.52
United Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $475.30 / $811.97	Professional		$306.70	$475.30	$811.97