Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $642.96 / $2,579.21	Facility		$204.97	$642.96	$2,579.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $245.75 / $387.39	Professional		$204.97	$245.75	$387.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.77 / $993.84 / $2,066.23	Facility		$440.77	$993.84	$2,066.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $469.67 / $924.83	Professional		$266.13	$469.67	$924.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $473.46 / $653.82	Professional		$315.64	$473.46	$653.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.64 / $450.91 / $13,785.00	Facility		$315.64	$450.91	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $315.64 / $315.64	Professional		$315.64	$315.64	$315.64
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $459.93	Professional		$189.38	$270.55	$459.93