Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.06 / $471.18 / $1,005.29	Facility		$391.06	$471.18	$1,005.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $434.47	Professional		$391.07	$391.07	$434.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.49 / $391.07 / $502.76	Facility		$388.49	$391.07	$502.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $405.83	Professional		$391.07	$391.07	$405.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $424.27 / $477.11	Professional		$405.82	$424.27	$477.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.52 / $830.11 / $13,785.00	Facility		$651.52	$830.11	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.14 / $359.00 / $378.17	Professional		$325.14	$359.00	$378.17
United Facility/Professional Facility Modifier Low / Median / High Price $324.20 / $324.20 / $324.20	Facility		$324.20	$324.20	$324.20
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $412.58 / $442.72	Professional		$391.07	$412.58	$442.72