Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $1,047.13	Facility		$398.11	$407.38	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $363.08	Professional		$295.12	$302.00	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $398.11	Facility		$309.03	$309.03	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $616.60 / $1,288.25	Facility		$354.81	$616.60	$1,288.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $912.01	Facility		$190.55	$295.12	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $323.59	Professional		$302.00	$302.00	$323.59