Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $851.14 / $3,801.89	Facility		$812.83	$851.14	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $794.33	Professional		$346.74	$512.86	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,412.54 / $1,412.54	Facility		$630.96	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $776.25 / $977.24	Professional		$338.84	$776.25	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $380.19	Professional		$257.04	$302.00	$380.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $645.65 / $1,318.26	Facility		$302.00	$645.65	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $660.69	Professional		$257.04	$380.19	$660.69