Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $3,630.78	Facility		$741.31	$1,122.02	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $1,071.52	Professional		$426.58	$512.86	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,288.25 / $2,630.27	Facility		$562.34	$1,288.25	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $891.25	Professional		$309.03	$588.84	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $660.69	Professional		$234.42	$288.40	$660.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $645.65	Professional		$407.38	$537.03	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $575.44 / $1,202.26	Facility		$275.42	$575.44	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $851.14	Professional		$223.87	$346.74	$851.14