Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $977.24	Facility		$208.93	$269.15	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $173.78	Professional		$109.65	$134.90	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $363.08 / $758.58	Facility		$190.55	$363.08	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $354.81	Professional		$173.78	$223.87	$354.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $9,332.54 / $25,118.86	Facility		$151.36	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $165.96	Professional		$128.82	$158.49	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $162.18 / $338.84	Facility		$77.62	$162.18	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $204.17	Professional		$67.61	$97.72	$204.17