Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.23 / $174.23 / $1,193.00	Facility		$174.23	$174.23	$1,193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $201.79 / $265.37	Professional		$174.23	$201.79	$265.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $347.73 / $451.33	Facility		$268.00	$347.73	$451.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $401.00 / $473.00	Professional		$225.00	$401.00	$473.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $290.27 / $290.27	Professional		$290.27	$290.27	$290.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.95 / $258.52 / $493.06	Facility		$233.95	$258.52	$493.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.08 / $176.78 / $266.02	Professional		$129.08	$176.78	$266.02
United Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $121.14 / $215.89	Professional		$91.77	$121.14	$215.89