Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $2,570.40	Facility		$416.87	$1,047.13	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $912.01 / $977.24	Facility		$407.38	$912.01	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $912.01	Professional		$436.52	$549.54	$912.01
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 $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $416.87 / $851.14	Facility		$194.98	$416.87	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $436.52	Professional		$173.78	$251.19	$436.52