Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $128.82	Professional		$46.77	$79.43	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $794.33	Facility		$660.69	$660.69	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $75.86	Professional		$69.18	$69.18	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $97.72	Professional		$46.77	$77.62	$97.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,513.56	Facility		$630.96	$954.99	$1,513.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $331.13	Professional		$79.43	$208.93	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,288.25	Facility		$588.84	$1,071.52	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $346.74	Professional		$30.90	$74.13	$346.74