Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.03 / $505.65 / $2,313.85	Facility		$174.03	$505.65	$2,313.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.03 / $279.11 / $343.84	Professional		$174.03	$279.11	$343.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.42 / $891.35 / $1,853.65	Facility		$395.42	$891.35	$1,853.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $379.38 / $672.60	Professional		$193.56	$379.38	$672.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $424.75 / $586.54	Professional		$283.16	$424.75	$586.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.16 / $8,702.00 / $13,785.00	Facility		$283.16	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $283.16 / $283.16	Professional		$283.16	$283.16	$283.16
United Facility/Professional Facility Modifier Low / Median / High Price $222.49 / $222.49 / $222.49	Facility		$222.49	$222.49	$222.49
United Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $242.71 / $412.61	Professional		$156.62	$242.71	$412.61