Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.59 / $536.34 / $2,045.24	Facility		$248.59	$536.34	$2,045.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.26 / $278.89 / $336.23	Professional		$201.26	$278.89	$336.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.86 / $788.14 / $1,638.47	Facility		$307.86	$788.14	$1,638.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.58 / $276.79 / $416.64	Professional		$229.58	$276.79	$416.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $196.66 / $286.05	Professional		$143.02	$196.66	$286.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.29 / $8,702.00 / $13,785.00	Facility		$250.29	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.29 / $250.29 / $327.64	Professional		$250.29	$250.29	$327.64
United Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $214.54 / $405.24	Professional		$143.02	$214.54	$405.24