Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $248.34 / $1,474.28	Facility		$248.34	$248.34	$1,474.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $292.18 / $375.81	Professional		$230.80	$292.18	$375.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.88 / $1,096.61 / $1,429.21	Facility		$690.88	$1,096.61	$1,429.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $370.58 / $644.73	Professional		$157.86	$370.58	$644.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.21 / $426.21 / $426.21	Professional		$426.21	$426.21	$426.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.80 / $1,308.65 / $1,308.65	Facility		$464.80	$1,308.65	$1,308.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.79 / $340.93 / $460.17	Professional		$289.79	$340.93	$460.17
United Facility/Professional Professional Modifier Low / Median / High Price $231.99 / $383.20 / $683.21	Professional		$231.99	$383.20	$683.21