Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $933.25	Facility		$199.53	$208.93	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $186.21	Professional		$93.33	$125.89	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $346.74 / $371.54	Facility		$154.88	$346.74	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $338.84	Professional		$165.96	$213.80	$338.84
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 $123.03 / $151.36 / $158.49	Professional		$123.03	$151.36	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $158.49 / $323.59	Facility		$74.13	$158.49	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $165.96	Professional		$63.10	$93.33	$165.96