Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $912.01	Professional		$707.95	$707.95	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $1,071.52	Facility		$676.08	$831.76	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $776.25	Professional		$707.95	$707.95	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,148.15 / $1,348.96	Professional		$154.88	$1,148.15	$1,348.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $11,481.54 / $27,542.29	Facility		$977.24	$11,481.54	$27,542.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $891.25 / $1,318.26	Professional		$125.89	$891.25	$1,318.26