Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $619.91 / $2,882.88	Facility		$500.00	$619.91	$2,882.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $413.28 / $478.80	Professional		$378.00	$413.28	$478.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.66 / $1,110.76 / $2,309.50	Facility		$492.66	$1,110.76	$2,309.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $522.57 / $731.00	Professional		$294.83	$522.57	$731.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.84 / $302.39 / $671.33	Professional		$231.84	$302.39	$671.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $327.60 / $457.06	Professional		$327.60	$327.60	$457.06
United Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $302.39 / $514.08	Professional		$201.60	$302.39	$514.08