Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $933.25 / $1,698.24	Facility		$354.81	$933.25	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $489.78	Professional		$173.78	$223.87	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $1,258.93	Facility		$316.23	$602.56	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $602.56	Professional		$158.49	$295.12	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $524.81	Professional		$190.55	$288.40	$524.81
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 $218.78 / $218.78 / $275.42	Professional		$218.78	$218.78	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $562.34	Facility		$128.82	$275.42	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $288.40	Professional		$109.65	$165.96	$288.40