Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.59 / $850.00 / $2,684.38	Facility		$564.59	$850.00	$2,684.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.65 / $545.57 / $850.00	Professional		$173.65	$545.57	$850.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.41 / $1,414.61 / $2,941.18	Facility		$627.41	$1,414.61	$2,941.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $431.19 / $931.00	Professional		$169.68	$431.19	$931.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $449.30 / $673.94 / $930.68	Professional		$449.30	$673.94	$930.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.30 / $8,702.00 / $13,785.00	Facility		$449.30	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.30 / $449.30 / $449.30	Professional		$449.30	$449.30	$449.30
United Facility/Professional Facility Modifier Low / Median / High Price $353.02 / $353.02 / $642.00	Facility		$353.02	$353.02	$642.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $319.19 / $534.02	Professional		$172.70	$319.19	$534.02