Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.96 / $225.96 / $689.88	Facility		$225.96	$225.96	$689.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $132.71 / $234.79	Professional		$106.75	$132.71	$234.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.02 / $232.49 / $390.97	Facility		$185.02	$232.49	$390.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $233.94 / $603.23	Professional		$99.40	$233.94	$603.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $176.60 / $543.04	Professional		$149.08	$176.60	$543.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.58 / $7,652.20 / $7,652.20	Facility		$290.58	$7,652.20	$7,652.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $137.11 / $238.95	Professional		$108.51	$137.11	$238.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,071.27 / $10,977.71 / $13,236.79	Facility		$6,071.27	$10,977.71	$13,236.79
United Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $183.45 / $458.48	Professional		$97.74	$183.45	$458.48