Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $10,964.78 / $21,379.62	Facility		$316.23	$10,964.78	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $407.38	Professional		$177.83	$229.09	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Facility		$120.23	$120.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $707.95	Professional		$190.55	$331.13	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $398.11	Professional		$213.80	$288.40	$398.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $630.96	Professional		$173.78	$223.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $31,622.78	Facility		$1,412.54	$2,884.03	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $501.19	Professional		$177.83	$281.84	$501.19