Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $549.54	Facility		$117.49	$151.36	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $95.50	Professional		$61.66	$75.86	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $416.87	Facility		$104.71	$204.17	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $199.53	Professional		$95.50	$123.03	$199.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $9,549.93 / $25,118.86	Facility		$91.20	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $93.33	Professional		$72.44	$89.13	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $186.21	Facility		$42.66	$91.20	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $112.20	Professional		$38.02	$54.95	$112.20