Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $954.99	Facility		$204.17	$213.80	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $213.80	Professional		$87.10	$125.89	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $354.81 / $354.81	Facility		$154.88	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $245.47	Professional		$85.11	$194.98	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $93.33	Professional		$64.57	$75.86	$93.33
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 $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $158.49 / $331.13	Facility		$75.86	$158.49	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $162.18	Professional		$64.57	$95.50	$162.18