Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $645.65	Professional		$407.38	$549.54	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,513.56 / $3,162.28	Facility		$776.25	$1,513.56	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,479.11	Professional		$724.44	$912.01	$1,479.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $26,302.68	Facility		$134.90	$10,471.29	$26,302.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $691.83	Professional		$537.03	$660.69	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $676.08 / $1,412.54	Facility		$323.59	$676.08	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $724.44	Professional		$275.42	$407.38	$724.44