Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $5,337.66	Facility		$903.21	$903.21	$5,337.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $881.96 / $903.21	Professional		$850.08	$881.96	$903.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.48 / $903.21 / $1,030.74	Facility		$796.48	$903.21	$1,030.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.96 / $1,678.93 / $13,785.00	Facility		$881.96	$1,678.93	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $903.21 / $903.21	Professional		$256.50	$903.21	$903.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,537.87 / $1,537.87 / $1,537.87	Facility		$1,537.87	$1,537.87	$1,537.87
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,011.60	Professional		$885.50	$885.50	$1,011.60