Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.62 / $649.28 / $3,019.42	Facility		$322.62	$649.28	$3,019.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.62 / $322.62 / $501.48	Professional		$322.62	$322.62	$501.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.99 / $1,163.44 / $2,418.89	Facility		$515.99	$1,163.44	$2,418.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.37 / $547.52 / $1,132.00	Professional		$311.37	$547.52	$1,132.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.51 / $554.26 / $765.41	Professional		$369.51	$554.26	$765.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $13,785.00 / $13,785.00	Facility		$527.87	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $290.33 / $290.33 / $290.33	Facility		$290.33	$290.33	$290.33
United Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $316.72 / $538.42	Professional		$219.06	$316.72	$538.42