Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.53 / $484.44 / $1,847.33	Facility		$224.53	$484.44	$1,847.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $251.91 / $303.69	Professional		$181.77	$251.91	$303.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.07 / $711.64 / $1,479.92	Facility		$278.07	$711.64	$1,479.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $249.97 / $376.54	Professional		$207.33	$249.97	$376.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $177.63 / $258.37	Professional		$129.18	$177.63	$258.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.07 / $13,785.00 / $13,785.00	Facility		$226.07	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $317.73	Professional		$226.07	$226.07	$317.73
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $193.78 / $366.03	Professional		$135.63	$193.78	$366.03