Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $954.99 / $3,548.13	Facility		$741.31	$954.99	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $954.99	Professional		$389.05	$501.19	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,288.25 / $2,691.53	Facility		$676.08	$1,288.25	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,288.25	Professional		$389.05	$630.96	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,122.02	Professional		$407.38	$616.60	$1,122.02
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 $467.74 / $467.74 / $588.84	Professional		$467.74	$467.74	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $588.84 / $1,202.26	Facility		$275.42	$588.84	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $724.44	Professional		$245.47	$354.81	$724.44