Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.12 / $252.12 / $635.89	Facility		$252.12	$252.12	$635.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $132.71 / $288.14	Professional		$106.75	$132.71	$288.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.02 / $232.49 / $374.84	Facility		$185.02	$232.49	$374.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $233.94 / $608.33	Professional		$100.16	$233.94	$608.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $176.60 / $553.14	Professional		$149.08	$176.60	$553.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.01 / $1,447.67 / $1,709.00	Facility		$1,213.01	$1,447.67	$1,709.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $137.11 / $262.12	Professional		$111.43	$137.11	$262.12
United Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $190.43 / $469.78	Professional		$101.41	$190.43	$469.78