Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.90 / $456.41 / $732.52	Facility		$236.90	$456.41	$732.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $236.90 / $645.87	Professional		$52.99	$236.90	$645.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $372.49 / $2,020.68	Facility		$144.22	$372.49	$2,020.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $148.49 / $168.05	Professional		$148.49	$148.49	$168.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.01 / $78.01 / $78.01	Professional		$78.01	$78.01	$78.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,272.60 / $1,354.50 / $2,682.11	Facility		$1,272.60	$1,354.50	$2,682.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $200.69 / $765.34	Professional		$138.60	$200.69	$765.34
United Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $119.25 / $235.83	Professional		$72.29	$119.25	$235.83