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 / $375.66 / $616.17	Facility		$268.00	$375.66	$616.17
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 $587.66 / $587.66 / $1,193.52	Facility		$587.66	$587.66	$1,193.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.68 / $343.80 / $562.83	Professional		$205.68	$343.80	$562.83
United Facility/Professional Professional Modifier Low / Median / High Price $198.20 / $268.05 / $456.78	Professional		$198.20	$268.05	$456.78