Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $3,019.95	Facility		$645.65	$660.69	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $602.56	Professional		$275.42	$398.11	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,122.02 / $2,290.87	Facility		$489.78	$1,122.02	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $758.58	Professional		$263.03	$575.44	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $295.12	Professional		$199.53	$234.42	$295.12
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 $302.00 / $323.59 / $407.38	Professional		$302.00	$323.59	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $501.19 / $1,023.29	Facility		$234.42	$501.19	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $512.86	Professional		$199.53	$302.00	$512.86