Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $10,821.55	Facility		$981.75	$981.75	$10,821.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $958.65 / $981.75	Professional		$924.00	$958.65	$981.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.50 / $981.75 / $1,221.00	Facility		$943.50	$981.75	$1,221.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,289.58 / $1,469.63 / $16,128.00	Facility		$1,289.58	$1,469.63	$16,128.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.00 / $981.75 / $981.75	Professional		$918.00	$981.75	$981.75
United Facility/Professional Facility Modifier Low / Median / High Price $918.10 / $918.10 / $918.10	Facility		$918.10	$918.10	$918.10
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,021.41	Professional		$962.50	$962.50	$1,021.41