Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $398.11 / $1,819.70	Facility		$181.97	$398.11	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $239.88 / $363.08	Professional		$57.54	$239.88	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $660.69 / $1,380.38	Facility		$346.74	$660.69	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $181.97 / $436.52	Professional		$51.29	$181.97	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $316.23 / $575.44	Professional		$72.44	$316.23	$575.44
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 $239.88 / $239.88 / $302.00	Professional		$239.88	$239.88	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $616.60	Facility		$141.25	$302.00	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $144.54 / $208.93	Professional		$52.48	$144.54	$208.93