Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $251.19	Professional		$151.36	$204.17	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $295.12	Professional		$269.15	$269.15	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $6,606.93	Facility		$2,630.27	$4,168.69	$6,606.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $436.52	Professional		$177.83	$245.47	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $5,370.32	Facility		$2,511.89	$4,466.84	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $426.58	Professional		$169.82	$251.19	$426.58