Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.53 / $506.04 / $2,168.41	Facility		$478.53	$506.04	$2,168.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.81 / $464.13 / $478.53	Professional		$181.81	$464.13	$478.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.51 / $889.90 / $1,849.39	Facility		$394.51	$889.90	$1,849.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $363.15 / $617.04	Professional		$177.71	$363.15	$617.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $282.51 / $423.77 / $585.21	Professional		$282.51	$423.77	$585.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.51 / $13,785.00 / $13,785.00	Facility		$282.51	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.51 / $282.51 / $282.51	Professional		$282.51	$282.51	$282.51
United Facility/Professional Facility Modifier Low / Median / High Price $221.97 / $221.97 / $221.97	Facility		$221.97	$221.97	$221.97
United Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $242.15 / $403.59	Professional		$150.68	$242.15	$403.59