Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.49 / $359.78 / $3,680.00	Facility		$144.49	$359.78	$3,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $144.49 / $187.68	Professional		$109.60	$144.49	$187.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.09 / $323.72 / $1,340.02	Facility		$167.09	$323.72	$1,340.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $175.41 / $343.84	Professional		$113.20	$175.41	$343.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $164.95 / $164.95	Professional		$164.95	$164.95	$164.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.83 / $266.22 / $540.66	Facility		$214.83	$266.22	$540.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $196.25 / $278.47	Professional		$120.19	$196.25	$278.47
United Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $146.75 / $301.82	Professional		$87.55	$146.75	$301.82