Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $478.26 / $1,065.39	Facility		$392.63	$478.26	$1,065.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $431.89	Professional		$392.63	$392.63	$431.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $397.27 / $514.12	Facility		$370.40	$397.27	$514.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $407.45	Professional		$392.63	$392.63	$407.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.44 / $407.45 / $479.00	Professional		$407.44	$407.45	$479.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.12 / $842.59 / $13,785.00	Facility		$654.12	$842.59	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.11 / $366.08 / $380.29	Professional		$284.11	$366.08	$380.29
United Facility/Professional Facility Modifier Low / Median / High Price $310.19 / $392.63 / $667.47	Facility		$310.19	$392.63	$667.47
United Facility/Professional Professional Modifier Low / Median / High Price $388.77 / $392.63 / $437.41	Professional		$388.77	$392.63	$437.41