Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $1,698.24	Facility		$363.08	$380.19	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $281.84	Professional		$169.82	$229.09	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $616.60 / $676.08	Facility		$275.42	$616.60	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $616.60	Professional		$295.12	$380.19	$616.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $9,332.54 / $25,118.86	Facility		$134.90	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $288.40	Professional		$223.87	$269.15	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $281.84 / $575.44	Facility		$131.83	$281.84	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $295.12	Professional		$112.20	$169.82	$295.12