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 / $423.39 / $986.13	Facility		$268.00	$423.39	$986.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $401.00 / $485.56	Professional		$225.00	$401.00	$485.56
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 $700.69 / $868.25 / $1,541.01	Facility		$700.69	$868.25	$1,541.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.58 / $550.45 / $765.96	Professional		$322.58	$550.45	$765.96
United Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $413.80 / $731.32	Professional		$312.70	$413.80	$731.32