Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $71.20 / $355.99	Facility		$71.20	$71.20	$355.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $77.18 / $96.28	Professional		$62.81	$77.18	$96.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.49 / $177.79 / $288.18	Facility		$141.49	$177.79	$288.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $111.40 / $183.49	Professional		$64.06	$111.40	$183.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $113.04 / $153.90	Professional		$95.10	$113.04	$153.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.24 / $587.66 / $1,120.74	Facility		$474.24	$587.66	$1,120.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $79.43 / $126.33	Professional		$45.87	$79.43	$126.33
United Facility/Professional Facility Modifier Low / Median / High Price $349.56 / $349.56 / $349.56	Facility		$349.56	$349.56	$349.56
United Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $91.30 / $152.43	Professional		$62.40	$91.30	$152.43