Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.25 / $399.23 / $1,856.60	Facility		$296.25	$399.23	$1,856.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $296.25 / $308.35	Professional		$194.75	$296.25	$308.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.27 / $715.24 / $1,487.34	Facility		$317.27	$715.24	$1,487.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.58 / $343.30 / $676.26	Professional		$191.58	$343.30	$676.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $340.81 / $470.64	Professional		$227.21	$340.81	$470.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.21 / $8,702.00 / $13,785.00	Facility		$227.21	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $227.21 / $227.21	Professional		$227.21	$227.21	$227.21
United Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $194.75 / $331.07	Professional		$134.69	$194.75	$331.07