Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $229.09 / $1,047.13	Facility		$223.87	$229.09	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $173.78	Professional		$104.71	$141.25	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $794.33	Facility		$199.53	$389.05	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $380.19	Professional		$181.97	$234.42	$380.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $9,549.93 / $25,118.86	Facility		$151.36	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $177.83	Professional		$138.04	$169.82	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $354.81	Facility		$81.28	$173.78	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $181.97	Professional		$69.18	$104.71	$181.97