Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.46 / $230.46 / $663.50	Facility		$230.46	$230.46	$663.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $162.66 / $238.22	Professional		$114.43	$162.66	$238.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $303.86 / $490.07	Facility		$241.82	$303.86	$490.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $250.89 / $602.97	Professional		$123.48	$250.89	$602.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $226.86 / $541.91	Professional		$192.51	$226.86	$541.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,175.33 / $7,369.96 / $7,652.20	Facility		$6,175.33	$7,369.96	$7,652.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $178.79 / $284.35	Professional		$105.55	$178.79	$284.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,861.66 / $4,677.81 / $7,154.15	Facility		$2,861.66	$4,677.81	$7,154.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $205.50 / $470.36	Professional		$125.28	$205.50	$470.36