Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.87 / $430.00 / $1,104.00	Facility		$191.87	$430.00	$1,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $182.70 / $274.08	Professional		$139.76	$182.70	$274.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.12 / $682.12 / $819.22	Facility		$682.12	$682.12	$819.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $250.81 / $459.23	Professional		$183.28	$250.81	$459.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $247.86 / $325.02	Professional		$169.08	$247.86	$325.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.26 / $806.41 / $1,637.78	Facility		$672.26	$806.41	$1,637.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.45 / $235.00 / $375.22	Professional		$186.45	$235.00	$375.22
United Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $207.00 / $327.54	Professional		$135.97	$207.00	$327.54