Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $390.43 / $774.51	Facility		$318.52	$390.43	$774.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $347.20	Professional		$318.52	$318.52	$347.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $339.87 / $439.84	Facility		$318.52	$339.87	$439.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $330.55	Professional		$318.52	$318.52	$330.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $330.55 / $345.58 / $388.61	Professional		$330.55	$345.58	$388.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.66 / $687.85 / $13,785.00	Facility		$530.66	$687.85	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.62 / $305.33 / $326.27	Professional		$299.62	$305.33	$326.27
United Facility/Professional Facility Modifier Low / Median / High Price $672.95 / $672.95 / $672.95	Facility		$672.95	$672.95	$672.95
United Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $334.46 / $374.18	Professional		$313.00	$334.46	$374.18