Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.50 / $205.50 / $1,096.73	Facility		$205.50	$205.50	$1,096.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $205.50 / $289.75	Professional		$168.78	$205.50	$289.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.87 / $616.15 / $870.49	Facility		$388.87	$616.15	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $267.18 / $476.01	Professional		$154.37	$267.18	$476.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.49 / $254.49 / $254.49	Professional		$254.49	$254.49	$254.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.89 / $976.93 / $976.93	Facility		$940.89	$976.93	$976.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.27 / $205.02 / $308.97	Professional		$174.27	$205.02	$308.97
United Facility/Professional Facility Modifier Low / Median / High Price $552.20 / $552.20 / $552.20	Facility		$552.20	$552.20	$552.20
United Facility/Professional Professional Modifier Low / Median / High Price $176.01 / $252.04 / $432.19	Professional		$176.01	$252.04	$432.19