Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $211.93 / $914.91	Facility		$84.77	$211.93	$914.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $104.98 / $135.96	Professional		$84.77	$104.98	$135.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.35 / $236.05 / $503.65	Facility		$156.35	$236.05	$503.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $183.79 / $229.73	Professional		$84.77	$183.79	$229.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $79.98 / $95.97	Professional		$63.98	$79.98	$95.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $159.94 / $8,702.00	Facility		$111.97	$159.94	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $111.97 / $111.97	Professional		$111.97	$111.97	$111.97
United Facility/Professional Facility Modifier Low / Median / High Price $55.98 / $55.98 / $199.94	Facility		$55.98	$55.98	$199.94
United Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $95.97 / $163.95	Professional		$61.93	$95.97	$163.95