Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,170.00 / $4,853.85	Facility		$936.00	$1,170.00	$4,853.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.20 / $897.00 / $955.93	Professional		$616.20	$897.00	$955.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.45 / $1,719.18 / $3,574.23	Facility		$762.45	$1,719.18	$3,574.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $808.98 / $1,672.72	Professional		$437.91	$808.98	$1,672.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $819.00 / $1,131.00	Professional		$546.00	$819.00	$1,131.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $468.00 / $842.40	Professional		$327.60	$468.00	$842.40