Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.76 / $603.17 / $2,412.33	Facility		$290.76	$603.17	$2,412.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.76 / $341.80 / $466.31	Professional		$290.76	$341.80	$466.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.07 / $886.30 / $1,842.65	Facility		$393.07	$886.30	$1,842.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $468.63 / $997.90	Professional		$265.83	$468.63	$997.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.48 / $422.23 / $583.07	Professional		$281.48	$422.23	$583.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.48 / $8,702.00 / $13,785.00	Facility		$281.48	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.48 / $281.48 / $281.48	Professional		$281.48	$281.48	$281.48
United Facility/Professional Professional Modifier Low / Median / High Price $160.85 / $241.27 / $548.60	Professional		$160.85	$241.27	$548.60