Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.89 / $56.89 / $338.66	Facility		$56.89	$56.89	$338.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $74.50 / $108.39	Professional		$56.89	$74.50	$108.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $158.41 / $204.00	Facility		$133.26	$158.41	$204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $110.36 / $178.07	Professional		$65.84	$110.36	$178.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $111.38 / $199.72	Professional		$83.90	$111.38	$199.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $214.08 / $464.19	Facility		$193.71	$214.08	$464.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $82.22 / $124.66	Professional		$57.01	$82.22	$124.66
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $92.71 / $155.91	Professional		$62.92	$92.71	$155.91