Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $54.62 / $302.41	Facility		$54.62	$54.62	$302.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $73.48 / $95.37	Professional		$54.62	$73.48	$95.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $205.39 / $319.42	Facility		$172.77	$205.39	$319.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $78.98 / $144.15	Professional		$49.55	$78.98	$144.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $108.15 / $158.94	Professional		$79.42	$108.15	$158.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.28 / $432.79 / $825.38	Facility		$349.28	$432.79	$825.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $80.95 / $102.87	Professional		$68.81	$80.95	$102.87
United Facility/Professional Facility Modifier Low / Median / High Price $241.66 / $280.97 / $446.38	Facility		$241.66	$280.97	$446.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $82.76 / $151.87	Professional		$42.74	$82.76	$151.87