Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $1,216.23 / $1,952.37	Facility		$796.09	$1,216.23	$1,952.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $804.05	Professional		$796.09	$796.09	$804.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $824.97 / $1,067.60	Facility		$751.03	$824.97	$1,067.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $806.51	Professional		$796.09	$796.09	$806.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $711.63 / $806.51 / $863.69	Professional		$711.63	$806.51	$863.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.39 / $800.15 / $800.15	Professional		$760.39	$800.15	$800.15
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $992.91	Professional		$318.44	$796.09	$992.91