Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $1,621.81	Facility		$436.52	$537.03	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $151.36	Professional		$93.33	$112.20	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $128.82	Facility		$100.00	$117.49	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $309.03	Professional		$93.33	$165.96	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $549.54	Professional		$269.15	$354.81	$549.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $1,995.26 / $10,471.29	Facility		$41.69	$1,995.26	$10,471.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $269.15	Professional		$109.65	$131.83	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $346.74	Professional		$131.83	$223.87	$346.74