Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.20 / $404.20 / $1,775.00	Facility		$404.20	$404.20	$1,775.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $495.91 / $668.44	Professional		$375.10	$495.91	$668.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.92 / $1,294.63 / $3,506.63	Facility		$585.92	$1,294.63	$3,506.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.79 / $612.32 / $1,181.20	Professional		$284.79	$612.32	$1,181.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $743.55 / $887.50 / $887.50	Professional		$743.55	$887.50	$887.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.95 / $1,406.38 / $2,856.28	Facility		$1,134.95	$1,406.38	$2,856.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $608.12 / $916.20	Professional		$378.84	$608.12	$916.20
United Facility/Professional Professional Modifier Low / Median / High Price $301.92 / $612.54 / $1,172.21	Professional		$301.92	$612.54	$1,172.21