Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $660.69 / $1,584.89	Facility		$331.13	$660.69	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $467.74	Professional		$186.21	$218.78	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $1,174.90	Facility		$295.12	$562.34	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $645.65	Professional		$173.78	$302.00	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $489.78	Professional		$181.97	$288.40	$489.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,118.86	Facility		$134.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $257.04	Professional		$204.17	$204.17	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $524.81	Facility		$120.23	$257.04	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $354.81	Professional		$107.15	$154.88	$354.81