Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $741.31 / $1,412.54	Facility		$302.00	$741.31	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $295.12	Professional		$107.15	$190.55	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $1,096.48	Facility		$275.42	$524.81	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $346.74	Professional		$95.50	$229.09	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $457.09	Professional		$134.90	$251.19	$457.09
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 $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $239.88 / $489.78	Facility		$112.20	$239.88	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $239.88	Professional		$81.28	$141.25	$239.88