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 / $6,852.22	Facility		$614.79	$1,537.00	$6,852.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.79 / $904.80 / $986.00	Professional		$614.79	$904.80	$986.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.90 / $1,713.80 / $3,652.51	Facility		$1,133.90	$1,713.80	$3,652.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.64 / $1,202.92 / $3,518.19	Professional		$630.64	$1,202.92	$3,518.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $838.56 / $1,257.83 / $1,737.01	Professional		$838.56	$1,257.83	$1,737.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $812.00 / $8,702.00	Facility		$812.00	$812.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $812.00 / $812.00	Professional		$812.00	$812.00	$812.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,189.00	Professional		$487.20	$696.00	$1,189.00