Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $1,122.02	Facility		$416.87	$489.78	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $380.19	Professional		$309.03	$316.23	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $426.58	Facility		$323.59	$323.59	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $323.59	Professional		$275.42	$323.59	$323.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,309.57 / $6,309.57	Facility		$5,623.41	$6,309.57	$6,309.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $389.05 / $630.96	Facility		$302.00	$389.05	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $354.81	Professional		$323.59	$323.59	$354.81