Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.10 / $517.75 / $2,235.09	Facility		$207.10	$517.75	$2,235.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $256.45 / $332.14	Professional		$207.10	$256.45	$332.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.96 / $577.07 / $1,230.31	Facility		$381.96	$577.07	$1,230.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $448.93 / $561.16	Professional		$448.93	$448.93	$561.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $195.38 / $234.45	Professional		$156.30	$195.38	$234.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $273.52 / $8,702.00	Facility		$273.52	$273.52	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $273.52 / $273.52	Professional		$273.52	$273.52	$273.52
United Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $234.45 / $400.52	Professional		$151.29	$234.45	$400.52