Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.15 / $549.54 / $3,680.00	Facility		$226.15	$549.54	$3,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $184.85 / $258.32	Professional		$150.93	$184.85	$258.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.09 / $621.10 / $1,706.65	Facility		$167.09	$621.10	$1,706.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.57 / $244.24 / $472.60	Professional		$156.57	$244.24	$472.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $299.44 / $299.44	Professional		$299.44	$299.44	$299.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.35 / $726.93 / $1,641.00	Facility		$639.35	$726.93	$1,641.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $276.17 / $425.09	Professional		$164.90	$276.17	$425.09
United Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $201.25 / $399.01	Professional		$120.93	$201.25	$399.01