Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.56 / $122.56 / $524.21	Facility		$122.56	$122.56	$524.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $118.86 / $152.51	Professional		$75.97	$118.86	$152.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $201.58 / $347.70	Facility		$160.41	$201.58	$347.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $158.53 / $289.60	Professional		$87.59	$158.53	$289.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.49 / $146.44 / $250.87	Professional		$123.49	$146.44	$250.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.08 / $1,849.94 / $1,920.79	Facility		$1,550.08	$1,849.94	$1,920.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $109.95 / $191.62	Professional		$93.01	$109.95	$191.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,021.23 / $1,021.23 / $1,021.23	Facility		$1,021.23	$1,021.23	$1,021.23
United Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $143.56 / $226.22	Professional		$82.00	$143.56	$226.22