Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $1,949.84	Facility		$416.87	$478.63	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $323.59	Professional		$213.80	$263.03	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,479.11	Facility		$371.54	$707.95	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $707.95	Professional		$338.84	$436.52	$707.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $331.13	Professional		$257.04	$309.03	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $660.69	Facility		$151.36	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $371.54	Professional		$128.82	$194.98	$371.54