Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $758.58 / $1,621.81	Facility		$302.00	$758.58	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $223.87	Professional		$85.11	$107.15	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $416.87	Facility		$204.17	$204.17	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $269.15	Professional		$95.50	$154.88	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,000.00 / $2,137.96	Facility		$173.78	$1,000.00	$2,137.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $213.80	Professional		$93.33	$109.65	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $933.25	Facility		$524.81	$616.60	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $229.09	Professional		$97.72	$131.83	$229.09