Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $676.08	Facility		$125.89	$151.36	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $102.33	Professional		$51.29	$72.44	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $190.55 / $389.05	Facility		$83.18	$190.55	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $165.96	Professional		$56.23	$104.71	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $63.10	Professional		$40.74	$45.71	$63.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $9,549.93 / $25,118.86	Facility		$85.11	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $77.62	Professional		$56.23	$72.44	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $85.11 / $177.83	Facility		$40.74	$85.11	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $97.72	Professional		$38.02	$51.29	$97.72