Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $575.44 / $891.25	Facility		$173.78	$575.44	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $257.04	Professional		$57.54	$89.13	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $478.63	Facility		$218.78	$218.78	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $169.82	Professional		$165.96	$165.96	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,884.03	Facility		$1,174.90	$1,862.09	$2,884.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $478.63	Professional		$83.18	$97.72	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $2,290.87	Facility		$1,071.52	$1,905.46	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $234.42	Professional		$74.13	$120.23	$234.42