Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.73 / $379.72 / $749.67	Facility		$195.73	$379.72	$749.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $162.63 / $195.73	Professional		$111.81	$162.63	$195.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $209.26 / $421.24	Facility		$138.69	$209.26	$421.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $56.57 / $208.61	Professional		$56.57	$56.57	$208.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $52.19 / $52.19	Professional		$52.19	$52.19	$52.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $214.08 / $408.26	Facility		$193.71	$214.08	$408.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $173.83 / $283.14	Professional		$137.30	$173.83	$283.14
United Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $177.00 / $308.44	Professional		$27.44	$177.00	$308.44