Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.28 / $744.93 / $762.88	Professional		$619.28	$744.93	$762.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.08 / $781.62 / $1,011.51	Facility		$248.08	$781.62	$1,011.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $919.55 / $935.00 / $1,100.00	Professional		$919.55	$935.00	$1,100.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $935.00 / $935.00	Professional		$935.00	$935.00	$935.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,107.36	Professional		$1,997.50	$1,997.50	$2,107.36