Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.94 / $252.94 / $755.27	Facility		$252.94	$252.94	$755.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $152.40 / $299.77	Professional		$122.72	$152.40	$299.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $245.93 / $400.93	Facility		$195.72	$245.93	$400.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.85 / $259.87 / $621.29	Professional		$114.85	$259.87	$621.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $201.81 / $563.87	Professional		$171.92	$201.81	$563.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,379.20 / $7,652.20 / $13,581.28	Facility		$6,379.20	$7,652.20	$13,581.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.76 / $152.24 / $282.63	Professional		$120.76	$152.24	$282.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,991.82 / $4,677.81 / $7,154.15	Facility		$3,991.82	$4,677.81	$7,154.15
United Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $224.84 / $492.31	Professional		$116.98	$224.84	$492.31