Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $1,160.00 / $5,897.16	Facility		$306.00	$1,160.00	$5,897.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $375.94 / $986.00	Professional		$306.00	$375.94	$986.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.90 / $2,557.12 / $5,315.53	Facility		$1,133.90	$2,557.12	$5,315.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.40 / $1,202.92 / $2,488.01	Professional		$651.40	$1,202.92	$2,488.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,218.00 / $1,682.00	Professional		$812.00	$1,218.00	$1,682.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $13,785.00 / $13,785.00	Facility		$6,950.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,183.20	Professional		$487.20	$696.00	$1,183.20