Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $891.25 / $1,288.25	Facility		$173.78	$891.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $302.00	Professional		$169.82	$208.93	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $741.31	Facility		$316.23	$478.63	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $467.74	Professional		$223.87	$389.05	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $758.58 / $12,589.25	Facility		$134.90	$758.58	$12,589.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $389.05	Professional		$190.55	$281.84	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $489.78	Facility		$239.88	$295.12	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $363.08	Professional		$144.54	$199.53	$363.08