Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $1,270.15 / $5,130.84	Facility		$440.00	$1,270.15	$5,130.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $440.00 / $762.45	Professional		$350.00	$440.00	$762.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.79 / $1,976.84 / $4,110.37	Facility		$626.79	$1,976.84	$4,110.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $846.87 / $1,301.00	Professional		$275.00	$846.87	$1,301.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $538.20 / $1,194.80	Professional		$358.80	$538.20	$1,194.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $13,785.00 / $13,785.00	Facility		$897.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $76.13 / $717.60	Professional		$76.13	$76.13	$717.60
United Facility/Professional Professional Modifier Low / Median / High Price $347.29 / $538.20 / $968.76	Professional		$347.29	$538.20	$968.76