Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $65.31 / $3,199.29	Facility		$65.31	$65.31	$3,199.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $356.96 / $589.73	Professional		$65.31	$356.96	$589.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.29 / $76.98 / $207.92	Facility		$56.29	$76.98	$207.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $92.58 / $152.61	Professional		$52.73	$92.58	$152.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $120.43 / $836.18	Professional		$87.40	$120.43	$836.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.27 / $1,333.03 / $2,365.88	Facility		$1,111.27	$1,333.03	$2,365.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $73.75 / $151.69	Professional		$62.69	$73.75	$151.69
United Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $507.25 / $966.17	Professional		$64.98	$507.25	$966.17