Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $776.25 / $1,122.02	Facility		$269.15	$776.25	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $316.23	Professional		$114.82	$158.49	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $269.15 / $501.19	Facility		$245.47	$269.15	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $562.34	Professional		$125.89	$257.04	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $295.12	Professional		$181.97	$213.80	$295.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $7,943.28 / $14,125.38	Facility		$331.13	$7,943.28	$14,125.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $398.11	Professional		$141.25	$165.96	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $7,079.46	Facility		$2,454.71	$4,677.35	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $501.19	Professional		$117.49	$213.80	$501.19