Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,071.52 / $2,398.83	Facility		$426.58	$1,071.52	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $645.65	Professional		$245.47	$281.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $1,548.82	Facility		$389.05	$741.31	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $691.83	Professional		$208.93	$389.05	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $630.96	Professional		$234.42	$380.19	$630.96
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 $263.03 / $263.03 / $338.84	Professional		$263.03	$263.03	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $338.84 / $691.83	Facility		$158.49	$338.84	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $457.09	Professional		$138.04	$199.53	$457.09