Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $81.36 / $437.34	Facility		$81.34	$81.36	$437.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $98.43 / $131.72	Professional		$75.37	$98.43	$131.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.29 / $231.58 / $412.28	Facility		$184.29	$231.58	$412.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $131.78 / $211.09	Professional		$82.91	$131.78	$211.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $136.74 / $185.92	Professional		$113.20	$136.74	$185.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $723.82 / $868.25	Facility		$116.37	$723.82	$868.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $110.95 / $157.41	Professional		$94.31	$110.95	$157.41
United Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $115.97 / $202.78	Professional		$75.34	$115.97	$202.78