Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $745.81 / $1,479.49	Facility		$575.50	$745.81	$1,479.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $690.60	Professional		$575.50	$575.50	$690.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.80 / $575.50 / $707.64	Facility		$546.80	$575.50	$707.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $597.22	Professional		$575.50	$575.50	$597.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $597.22 / $624.37 / $721.71	Professional		$597.22	$624.37	$721.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.78 / $1,313.96 / $13,785.00	Facility		$958.78	$1,313.96	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $606.35 / $632.87	Professional		$426.00	$606.35	$632.87
United Facility/Professional Facility Modifier Low / Median / High Price $594.20 / $594.20 / $594.20	Facility		$594.20	$594.20	$594.20
United Facility/Professional Professional Modifier Low / Median / High Price $517.95 / $575.50 / $640.65	Professional		$517.95	$575.50	$640.65