Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.73 / $565.63 / $2,630.40	Facility		$243.73	$565.63	$2,630.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.73 / $275.92 / $390.88	Professional		$243.73	$275.92	$390.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.51 / $679.13 / $1,447.99	Facility		$449.51	$679.13	$1,447.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.73 / $504.58 / $660.80	Professional		$243.73	$504.58	$660.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.94 / $229.93 / $275.92	Professional		$183.94	$229.93	$275.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $459.86 / $8,702.00	Facility		$3.65	$459.86	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.89 / $413.87 / $413.87	Professional		$367.89	$413.87	$413.87
United Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $275.92 / $496.65	Professional		$178.04	$275.92	$496.65