Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $720.64	Professional		$713.50	$713.50	$720.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $969.00 / $1,254.00	Facility		$713.50	$969.00	$1,254.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $807.74	Professional		$713.50	$713.50	$807.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $673.11 / $713.50 / $1,058.46	Professional		$673.11	$713.50	$1,058.46
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 $975.26 / $975.26 / $997.70	Professional		$975.26	$975.26	$997.70
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $771.44	Professional		$713.50	$713.50	$771.44