Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.79 / $1,104.51 / $3,179.00	Facility		$598.79	$1,104.51	$3,179.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.22 / $1,000.00 / $1,104.51	Professional		$389.22	$1,000.00	$1,104.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.77 / $1,099.93 / $2,286.59	Facility		$487.77	$1,099.93	$2,286.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.38 / $533.10 / $1,513.33	Professional		$294.38	$533.10	$1,513.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.30 / $523.95 / $723.55	Professional		$349.30	$523.95	$723.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $13,785.00 / $13,785.00	Facility		$499.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $234.53 / $499.00 / $1,024.23	Facility		$234.53	$499.00	$1,024.23
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $299.39 / $511.48	Professional		$209.58	$299.39	$511.48