Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $891.25	Professional		$724.44	$741.31	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $831.76	Facility		$645.65	$758.58	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $1,096.48	Professional		$912.01	$933.25	$1,096.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $10,471.29 / $23,988.33	Facility		$1,000.00	$10,471.29	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,089.30	Professional		$1,995.26	$1,995.26	$2,089.30