Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.79 / $570.42 / $2,652.71	Facility		$245.79	$570.42	$2,652.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $278.26 / $394.20	Professional		$245.79	$278.26	$394.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.32 / $684.94 / $1,460.79	Facility		$453.32	$684.94	$1,460.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.86 / $533.17 / $666.48	Professional		$508.86	$533.17	$666.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.50 / $231.88 / $278.26	Professional		$185.50	$231.88	$278.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $1,165.00 / $8,702.00	Facility		$3.65	$1,165.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.01 / $371.01 / $371.01	Professional		$371.01	$371.01	$371.01
United Facility/Professional Professional Modifier Low / Median / High Price $185.50 / $278.26 / $473.04	Professional		$185.50	$278.26	$473.04