Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $516.44 / $829.01	Facility		$340.31	$516.44	$829.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $343.72	Professional		$340.31	$340.31	$343.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $393.40 / $20,199.02	Facility		$328.91	$393.40	$20,199.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $346.46	Professional		$340.31	$340.31	$346.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.37 / $328.91 / $386.95	Professional		$295.37	$328.91	$386.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.04 / $1,165.00 / $13,785.00	Facility		$340.04	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $339.76 / $340.04	Professional		$310.33	$339.76	$340.04
United Facility/Professional Facility Modifier Low / Median / High Price $340.22 / $340.22 / $340.22	Facility		$340.22	$340.22	$340.22
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $401.90	Professional		$136.12	$340.31	$401.90