Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,258.93 / $2,041.74	Facility		$416.87	$1,258.93	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $537.03	Professional		$213.80	$269.15	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,479.11	Facility		$371.54	$707.95	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $489.78	Professional		$186.21	$346.74	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $616.60	Professional		$229.09	$338.84	$616.60
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 $257.04 / $257.04 / $323.59	Professional		$257.04	$257.04	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $660.69	Facility		$151.36	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $346.74	Professional		$128.82	$194.98	$346.74