Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $207.04 / $1,387.25	Facility		$207.04	$207.04	$1,387.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.04 / $265.64 / $337.12	Professional		$207.04	$265.64	$337.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.67 / $965.92 / $1,308.51	Facility		$598.67	$965.92	$1,308.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $369.68 / $649.99	Professional		$221.34	$369.68	$649.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $394.66 / $394.66 / $394.66	Professional		$394.66	$394.66	$394.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,908.78 / $3,173.87 / $6,052.90	Facility		$2,908.78	$3,173.87	$6,052.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $309.82 / $377.43	Professional		$263.35	$309.82	$377.43
United Facility/Professional Professional Modifier Low / Median / High Price $250.60 / $353.84 / $630.20	Professional		$250.60	$353.84	$630.20