Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.12 / $562.44 / $2,169.05	Facility		$227.12	$562.44	$2,169.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.11 / $227.13 / $331.13	Professional		$216.11	$227.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.71 / $767.93 / $1,597.22	Facility		$340.71	$767.93	$1,597.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.97 / $372.41 / $747.18	Professional		$208.97	$372.41	$747.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.99 / $365.99 / $505.41	Professional		$243.99	$365.99	$505.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.99 / $8,702.00 / $13,785.00	Facility		$243.99	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.99 / $243.99 / $243.99	Professional		$243.99	$243.99	$243.99
United Facility/Professional Facility Modifier Low / Median / High Price $191.71 / $191.71 / $349.00	Facility		$191.71	$191.71	$349.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $209.14 / $395.04	Professional		$146.40	$209.14	$395.04