Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $524.81	Facility		$234.42	$302.00	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $173.78	Professional		$54.95	$77.62	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $186.21 / $323.59	Facility		$173.78	$186.21	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $158.49	Professional		$52.48	$79.43	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $158.49	Professional		$97.72	$117.49	$158.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $549.54 / $933.25	Facility		$85.11	$549.54	$933.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $154.88	Professional		$72.44	$85.11	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $288.40 / $446.68	Facility		$239.88	$288.40	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $144.54	Professional		$50.12	$83.18	$144.54