Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.45 / $1,381.13 / $6,006.00	Facility		$552.45	$1,381.13	$6,006.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.45 / $781.76 / $892.50	Professional		$552.45	$781.76	$892.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.38 / $2,314.62 / $4,811.47	Facility		$1,026.38	$2,314.62	$4,811.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.55 / $1,152.10 / $2,123.09	Professional		$619.55	$1,152.10	$2,123.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $630.00 / $1,398.60	Professional		$483.00	$630.00	$1,398.60
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
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.37 / $698.37 / $729.65	Professional		$698.37	$698.37	$729.65
United Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $630.00 / $1,071.00	Professional		$420.00	$630.00	$1,071.00