Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $2,290.87	Facility		$489.78	$501.19	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $457.09	Professional		$208.93	$302.00	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $831.76 / $1,737.80	Facility		$436.52	$831.76	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $575.44	Professional		$199.53	$436.52	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $223.87	Professional		$151.36	$177.83	$223.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $302.00	Professional		$229.09	$245.47	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $380.19 / $776.25	Facility		$177.83	$380.19	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $389.05	Professional		$151.36	$229.09	$389.05