Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.53 / $203.53 / $1,086.32	Facility		$203.53	$203.53	$1,086.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $228.82 / $290.79	Professional		$170.68	$228.82	$290.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.88 / $747.08 / $1,023.41	Facility		$495.88	$747.08	$1,023.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.08 / $290.43 / $500.79	Professional		$168.08	$290.43	$500.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $334.05 / $334.05 / $334.05	Professional		$334.05	$334.05	$334.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.41 / $940.89 / $2,118.46	Facility		$814.41	$940.89	$2,118.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.66 / $256.07 / $332.51	Professional		$217.66	$256.07	$332.51
United Facility/Professional Facility Modifier Low / Median / High Price $520.83 / $615.98 / $942.80	Facility		$520.83	$615.98	$942.80
United Facility/Professional Professional Modifier Low / Median / High Price $184.28 / $300.55 / $520.65	Professional		$184.28	$300.55	$520.65