Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $739.13 / $2,468.55	Facility		$328.34	$739.13	$2,468.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $367.14	Professional		$328.34	$328.34	$367.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $833.02 / $1,261.80	Facility		$328.34	$833.02	$1,261.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $340.73	Professional		$328.34	$328.34	$340.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.73 / $356.22 / $492.87	Professional		$340.73	$356.22	$492.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.80 / $770.68 / $13,785.00	Facility		$288.80	$770.68	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $302.92 / $877.75	Professional		$288.80	$302.92	$877.75
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $346.40 / $394.01	Professional		$328.34	$346.40	$394.01