Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $1,659.59	Facility		$354.81	$363.08	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $363.08	Professional		$162.18	$223.87	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $1,258.93	Facility		$316.23	$602.56	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $489.78	Professional		$154.88	$263.03	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $446.68	Professional		$190.55	$288.40	$446.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $10,232.93 / $25,118.86	Facility		$151.36	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $275.42	Professional		$218.78	$218.78	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $562.34	Facility		$128.82	$275.42	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $288.40	Professional		$109.65	$165.96	$288.40