Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.79 / $1,537.00 / $6,222.67	Facility		$614.79	$1,537.00	$6,222.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.79 / $904.80 / $1,102.00	Professional		$614.79	$904.80	$1,102.00
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 $691.11 / $1,348.20 / $2,488.01	Professional		$691.11	$1,348.20	$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 $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $1,044.00 / $1,392.00	Facility		$1,044.00	$1,044.00	$1,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.12 / $696.00 / $1,183.20	Professional		$449.12	$696.00	$1,183.20