Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $323.05 / $680.89	Facility		$248.50	$323.05	$680.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $273.35	Professional		$248.50	$248.50	$273.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $254.73 / $329.65	Facility		$248.50	$254.73	$329.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $257.87	Professional		$248.50	$248.50	$257.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $239.33 / $303.17	Professional		$239.33	$239.33	$303.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.63 / $493.52 / $13,785.00	Facility		$243.63	$493.52	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $234.44 / $239.33	Professional		$216.75	$234.44	$239.33
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $260.93 / $286.94	Professional		$248.50	$260.93	$286.94