Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $71.44 / $353.60	Facility		$71.44	$71.44	$353.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $86.29 / $109.94	Professional		$62.83	$86.29	$109.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.46 / $234.75 / $364.84	Facility		$197.46	$234.75	$364.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $106.72 / $179.25	Professional		$68.23	$106.72	$179.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $127.31 / $181.19	Professional		$100.73	$127.31	$181.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.24 / $587.66 / $1,042.99	Facility		$474.24	$587.66	$1,042.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $94.89 / $134.38	Professional		$77.11	$94.89	$134.38
United Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $93.85 / $169.22	Professional		$59.40	$93.85	$169.22