Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.95 / $785.17 / $1,244.53	Facility		$248.95	$785.17	$1,244.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $238.58 / $785.17	Professional		$154.02	$238.58	$785.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.58 / $457.58 / $950.65	Facility		$238.58	$457.58	$950.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $241.62 / $514.60	Professional		$137.21	$241.62	$514.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $217.83 / $300.82	Professional		$145.22	$217.83	$300.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $8,702.00 / $13,785.00	Facility		$145.22	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $145.22 / $145.22	Professional		$145.22	$145.22	$145.22
United Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $114.10 / $231.00	Facility		$114.10	$114.10	$231.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $124.48 / $283.02	Professional		$87.13	$124.48	$283.02