Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $457.09 / $2,137.96	Facility		$12.02	$457.09	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $12.02 / $354.81	Professional		$3.98	$12.02	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $1,621.81	Facility		$407.38	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $549.54	Professional		$389.05	$436.52	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $208.93	Professional		$144.54	$169.82	$208.93
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 $213.80 / $234.42 / $288.40	Professional		$213.80	$234.42	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $354.81 / $741.31	Facility		$169.82	$354.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $363.08	Professional		$144.54	$213.80	$363.08