Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.04 / $620.10 / $2,405.52	Facility		$248.04	$620.10	$2,405.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.04 / $388.44 / $1,500.00	Professional		$248.04	$388.44	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.47 / $1,031.36 / $2,144.54	Facility		$457.47	$1,031.36	$2,144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $484.20 / $987.89	Professional		$263.77	$484.20	$987.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $491.40 / $678.60	Professional		$327.60	$491.40	$678.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $8,702.00 / $13,785.00	Facility		$468.00	$8,702.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $280.80 / $477.36	Professional		$196.56	$280.80	$477.36