Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $101.76 / $577.83	Facility		$101.76	$101.76	$577.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $111.18 / $197.26	Professional		$89.06	$111.18	$197.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.19 / $227.05 / $350.38	Facility		$184.19	$227.05	$350.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $148.44 / $282.88	Professional		$77.73	$148.44	$282.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $149.66 / $204.11	Professional		$121.67	$149.66	$204.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,253.06 / $1,503.12 / $2,667.76	Facility		$1,253.06	$1,503.12	$2,667.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $116.24 / $184.88	Professional		$98.80	$116.24	$184.88
United Facility/Professional Facility Modifier Low / Median / High Price $775.19 / $883.26 / $1,354.05	Facility		$775.19	$883.26	$1,354.05
United Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $130.16 / $229.03	Professional		$70.25	$130.16	$229.03