Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,096.48 / $1,621.81	Facility		$524.81	$1,096.48	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $407.38	Professional		$162.18	$204.17	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $870.96	Facility		$389.05	$389.05	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $501.19	Professional		$151.36	$263.03	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,513.56 / $3,890.45	Facility		$436.52	$1,513.56	$3,890.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $426.58	Professional		$181.97	$213.80	$426.58
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 $173.78 / $251.19 / $436.52	Professional		$173.78	$251.19	$436.52