Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $810.48 / $3,471.56	Facility		$650.00	$810.48	$3,471.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.87 / $650.00 / $650.00	Professional		$389.87	$650.00	$650.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.20 / $1,488.95 / $3,094.92	Facility		$660.20	$1,488.95	$3,094.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.99 / $681.44 / $1,324.01	Professional		$380.99	$681.44	$1,324.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $472.78 / $709.17 / $979.33	Professional		$472.78	$709.17	$979.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.78 / $13,785.00 / $13,785.00	Facility		$472.78	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.78 / $472.78 / $472.78	Professional		$472.78	$472.78	$472.78
United Facility/Professional Professional Modifier Low / Median / High Price $283.67 / $405.24 / $688.91	Professional		$283.67	$405.24	$688.91