Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $331.13 / $1,479.11	Facility		$316.23	$331.13	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $295.12	Professional		$134.90	$194.98	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $549.54 / $1,122.02	Facility		$239.88	$549.54	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $380.19	Professional		$131.83	$281.84	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $144.54	Professional		$97.72	$114.82	$144.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $199.53	Professional		$147.91	$162.18	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $245.47 / $501.19	Facility		$114.82	$245.47	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $251.19	Professional		$97.72	$147.91	$251.19