Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $231.63 / $999.91	Facility		$92.65	$231.63	$999.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $136.35 / $148.59	Professional		$92.65	$136.35	$148.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.88 / $385.41 / $801.04	Facility		$170.88	$385.41	$801.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $139.85 / $139.85	Professional		$139.85	$139.85	$139.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $229.00 / $318.50	Professional		$183.55	$229.00	$318.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $157.33 / $157.33	Professional		$157.33	$157.33	$157.33
United Facility/Professional Facility Modifier Low / Median / High Price $96.15 / $96.15 / $218.51	Facility		$96.15	$96.15	$218.51
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $178.31	Professional		$73.42	$104.89	$178.31