Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $870.96	Facility		$323.59	$380.19	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $354.81	Professional		$251.19	$251.19	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $288.40 / $380.19	Facility		$239.88	$288.40	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $309.03	Professional		$245.47	$245.47	$309.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $9,549.93 / $25,118.86	Facility		$245.47	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $239.88	Professional		$234.42	$234.42	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $426.58	Facility		$208.93	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $288.40	Professional		$245.47	$257.04	$288.40