Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.50 / $845.63 / $3,869.58	Facility		$668.50	$845.63	$3,869.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.17 / $668.50 / $668.50	Professional		$425.17	$668.50	$668.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $777.98 / $1,491.11 / $3,099.96	Facility		$777.98	$1,491.11	$3,099.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.61 / $724.11 / $1,450.81	Professional		$405.61	$724.11	$1,450.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.55 / $710.33 / $980.93	Professional		$473.55	$710.33	$980.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.55 / $8,702.00 / $13,785.00	Facility		$473.55	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.55 / $473.55 / $473.55	Professional		$473.55	$473.55	$473.55
United Facility/Professional Facility Modifier Low / Median / High Price $372.08 / $372.08 / $372.08	Facility		$372.08	$372.08	$372.08
United Facility/Professional Professional Modifier Low / Median / High Price $261.92 / $405.90 / $781.29	Professional		$261.92	$405.90	$781.29