Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.50 / $419.23 / $2,011.88	Facility		$242.50	$419.23	$2,011.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $285.07 / $388.91	Professional		$242.50	$285.07	$388.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.84 / $739.06 / $1,536.83	Facility		$327.84	$739.06	$1,536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.82 / $390.81 / $832.23	Professional		$221.82	$390.81	$832.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.77 / $352.15 / $486.30	Professional		$234.77	$352.15	$486.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.77 / $8,702.00 / $13,785.00	Facility		$234.77	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.77 / $234.77 / $234.77	Professional		$234.77	$234.77	$234.77
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $201.23 / $457.54	Professional		$140.86	$201.23	$457.54