Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $758.58 / $1,096.48	Facility		$257.04	$758.58	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $371.54	Professional		$112.20	$154.88	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $218.78 / $398.11	Facility		$194.98	$218.78	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $575.44	Professional		$123.03	$257.04	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $302.00	Professional		$186.21	$218.78	$302.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $7,413.10 / $14,125.38	Facility		$331.13	$7,413.10	$14,125.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $389.05	Professional		$134.90	$158.49	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $7,079.46	Facility		$3,981.07	$4,677.35	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $501.19	Professional		$117.49	$208.93	$501.19