Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $3,019.95	Facility		$645.65	$660.69	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $602.56	Professional		$275.42	$398.11	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,122.02 / $2,290.87	Facility		$489.78	$1,122.02	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $691.83	Professional		$269.15	$549.54	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $295.12	Professional		$199.53	$234.42	$295.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $10,232.93 / $25,118.86	Facility		$151.36	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $501.19	Professional		$302.00	$407.38	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $323.59 / $602.56	Facility		$177.83	$323.59	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $512.86	Professional		$199.53	$302.00	$512.86