Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.86 / $864.00 / $3,392.16	Facility		$249.86	$864.00	$3,392.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.86 / $293.73 / $400.72	Professional		$249.86	$293.73	$400.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $761.44 / $1,583.52	Facility		$337.80	$761.44	$1,583.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $402.71 / $857.67	Professional		$228.48	$402.71	$857.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $362.85 / $501.08	Professional		$241.90	$362.85	$501.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $13,785.00 / $13,785.00	Facility		$241.90	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $241.90	Professional		$241.90	$241.90	$241.90
United Facility/Professional Facility Modifier Low / Median / High Price $190.06 / $190.06 / $190.06	Facility		$190.06	$190.06	$190.06
United Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $207.34 / $471.44	Professional		$143.41	$207.34	$471.44