Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $8,017.13	Facility		$624.36	$624.36	$8,017.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.83 / $609.66 / $624.36	Professional		$506.83	$609.66	$624.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $816.00 / $1,056.00	Facility		$624.36	$816.00	$1,056.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.70 / $1,705.67 / $13,785.00	Facility		$820.70	$1,705.67	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.48 / $840.48 / $840.48	Professional		$840.48	$840.48	$840.48
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $661.81	Professional		$612.11	$612.11	$661.81