Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.12 / $375.18 / $963.86	Facility		$311.12	$375.18	$963.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $303.80 / $311.13	Professional		$252.56	$303.80	$311.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.63 / $311.13 / $351.52	Facility		$271.63	$311.13	$351.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.11 / $744.04 / $1,432.16	Facility		$528.11	$744.04	$1,432.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $305.02 / $305.02	Professional		$48.73	$305.02	$305.02
United Facility/Professional Facility Modifier Low / Median / High Price $274.33 / $274.33 / $274.33	Facility		$274.33	$274.33	$274.33
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $348.45	Professional		$305.02	$305.02	$348.45