Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $1,479.11	Facility		$275.42	$323.59	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $234.42	Professional		$112.20	$162.18	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $426.58 / $891.25	Facility		$190.55	$426.58	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $354.81	Professional		$120.23	$234.42	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $134.90	Professional		$91.20	$97.72	$134.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $165.96	Professional		$125.89	$147.91	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $194.98 / $398.11	Facility		$91.20	$194.98	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $208.93	Professional		$85.11	$117.49	$208.93