Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.61 / $941.74 / $3,299.88	Facility		$355.61	$941.74	$3,299.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.54 / $355.61 / $474.12	Professional		$264.54	$355.61	$474.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.92 / $392.85 / $440.51	Facility		$333.92	$392.85	$440.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $532.65 / $532.65 / $532.65	Professional		$532.65	$532.65	$532.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32,656.25 / $32,656.25 / $32,656.25	Professional		$32,656.25	$32,656.25	$32,656.25
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $546.79	Professional		$520.75	$520.75	$546.79