Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $331.13 / $1,479.11	Facility		$316.23	$331.13	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $234.42	Professional		$147.91	$199.53	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $1,148.15	Facility		$288.40	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $537.03	Professional		$263.03	$338.84	$537.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $9,772.37 / $25,118.86	Facility		$151.36	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $251.19	Professional		$194.98	$239.88	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $251.19 / $512.86	Facility		$117.49	$251.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $263.03	Professional		$100.00	$147.91	$263.03