Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $1,659.59	Facility		$354.81	$363.08	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $275.42	Professional		$147.91	$223.87	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $602.56 / $645.65	Facility		$269.15	$602.56	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $602.56	Professional		$288.40	$371.54	$602.56
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 $218.78 / $263.03 / $281.84	Professional		$218.78	$263.03	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $562.34	Facility		$128.82	$275.42	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $288.40	Professional		$109.65	$165.96	$288.40