Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $1,380.38	Facility		$257.04	$630.96	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $169.82	Professional		$63.10	$85.11	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $407.38	Facility		$158.49	$158.49	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $223.87	Professional		$77.62	$128.82	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,348.96 / $2,884.03	Facility		$138.04	$1,348.96	$2,884.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $181.97	Professional		$69.18	$81.28	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,258.93	Facility		$676.08	$794.33	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $173.78	Professional		$75.86	$102.33	$173.78