Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.93 / $946.58 / $4,402.00	Facility		$222.93	$946.58	$4,402.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $222.93 / $708.69	Professional		$222.93	$222.93	$708.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.27 / $1,696.09 / $3,526.48	Facility		$752.27	$1,696.09	$3,526.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.04 / $798.08 / $1,650.25	Professional		$432.04	$798.08	$1,650.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $538.71 / $808.06 / $1,115.89	Professional		$538.71	$808.06	$1,115.89
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 $319.37 / $461.75 / $784.97	Professional		$319.37	$461.75	$784.97