Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $5,659.23 / $16,746.16	Facility		$627.36	$5,659.23	$16,746.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.27 / $612.60 / $627.36	Professional		$509.27	$612.60	$627.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.12 / $768.90 / $1,230.24	Facility		$615.12	$768.90	$1,230.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $553.85 / $660.23 / $13,785.00	Facility		$553.85	$660.23	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $627.36 / $627.36	Professional		$558.45	$627.36	$627.36
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $702.64	Professional		$615.05	$615.05	$702.64