Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $3,162.28	Facility		$676.08	$691.83	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $630.96	Professional		$288.40	$416.87	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $2,398.83	Facility		$602.56	$1,148.15	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $794.33	Professional		$575.44	$645.65	$794.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $309.03	Professional		$208.93	$245.47	$309.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $478.63	Professional		$338.84	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $524.81 / $1,071.52	Facility		$245.47	$524.81	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $537.03	Professional		$208.93	$316.23	$537.03