Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.61 / $944.03 / $4,075.33	Facility		$377.61	$944.03	$4,075.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.61 / $467.59 / $605.60	Professional		$377.61	$467.59	$605.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $696.44 / $1,052.56 / $2,242.94	Facility		$696.44	$1,052.56	$2,242.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.61 / $818.98 / $1,023.72	Professional		$377.61	$818.98	$1,023.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.99 / $356.24 / $427.48	Professional		$284.99	$356.24	$427.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.73 / $498.73 / $12,381.00	Facility		$498.73	$498.73	$12,381.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.73 / $498.73 / $498.73	Professional		$498.73	$498.73	$498.73
United Facility/Professional Facility Modifier Low / Median / High Price $641.22 / $641.22 / $854.96	Facility		$641.22	$641.22	$854.96
United Facility/Professional Professional Modifier Low / Median / High Price $275.85 / $427.48 / $769.47	Professional		$275.85	$427.48	$769.47