Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,023.29 / $4,677.35	Facility		$977.24	$1,023.29	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $933.25	Professional		$416.87	$616.60	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $3,548.13	Facility		$891.25	$1,698.24	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $891.25 / $1,174.90	Professional		$407.38	$891.25	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $457.09	Professional		$309.03	$363.08	$457.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $26,302.68	Facility		$134.90	$10,471.29	$26,302.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $691.83	Professional		$467.74	$616.60	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $776.25 / $1,584.89	Facility		$363.08	$776.25	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $794.33	Professional		$309.03	$467.74	$794.33