Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $1,174.90	Facility		$218.78	$263.03	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $158.49	Professional		$100.00	$123.03	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $676.08	Facility		$169.82	$331.13	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $426.58	Professional		$208.93	$269.15	$426.58
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 $117.49 / $144.54 / $151.36	Professional		$117.49	$144.54	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $147.91 / $309.03	Facility		$70.79	$147.91	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $186.21	Professional		$63.10	$89.13	$186.21