Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $600.00 / $1,596.35	Facility		$381.70	$600.00	$1,596.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $324.45 / $600.00	Professional		$91.52	$324.45	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.12 / $841.55 / $1,749.08	Facility		$373.12	$841.55	$1,749.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $231.77 / $553.00	Professional		$89.38	$231.77	$553.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.19 / $400.79 / $553.47	Professional		$267.19	$400.79	$553.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.19 / $13,785.00 / $13,785.00	Facility		$267.19	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.19 / $267.19 / $267.19	Professional		$267.19	$267.19	$267.19
United Facility/Professional Facility Modifier Low / Median / High Price $209.94 / $209.94 / $209.94	Facility		$209.94	$209.94	$209.94
United Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $183.22 / $229.02	Professional		$83.44	$183.22	$229.02