Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.84 / $74.84 / $412.53	Facility		$74.84	$74.84	$412.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $74.84 / $101.68	Professional		$61.67	$74.84	$101.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.07 / $225.18 / $541.54	Facility		$151.07	$225.18	$541.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $103.27 / $174.92	Professional		$58.09	$103.27	$174.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $100.13 / $100.13	Professional		$100.13	$100.13	$100.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.01 / $976.93 / $2,118.46	Facility		$884.01	$976.93	$2,118.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $71.54 / $108.20	Professional		$60.81	$71.54	$108.20
United Facility/Professional Facility Modifier Low / Median / High Price $520.83 / $615.98 / $942.80	Facility		$520.83	$615.98	$942.80
United Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $90.37 / $158.32	Professional		$66.33	$90.37	$158.32