Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $436.52 / $724.44	Facility		$316.23	$436.52	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $234.42	Professional		$79.43	$107.15	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $257.04 / $489.78	Facility		$239.88	$257.04	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $239.88	Professional		$87.10	$131.83	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $213.80	Professional		$131.83	$158.49	$213.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $794.33 / $1,995.26	Facility		$134.90	$794.33	$1,995.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $223.87	Professional		$97.72	$114.82	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $380.19 / $660.69	Facility		$288.40	$380.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $199.53	Professional		$75.86	$114.82	$199.53