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 $93.33 / $138.04 / $229.09	Professional		$93.33	$138.04	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $380.19 / $380.19	Facility		$169.82	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $263.03	Professional		$91.20	$208.93	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $102.33	Professional		$69.18	$81.28	$102.33
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 $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
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 / $177.83	Professional		$69.18	$104.71	$177.83