Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $126.49 / $585.07	Facility		$126.49	$126.49	$585.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $119.57 / $158.27	Professional		$92.27	$119.57	$158.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.24 / $315.35 / $753.50	Facility		$210.24	$315.35	$753.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $184.88 / $290.11	Professional		$105.59	$184.88	$290.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $152.49 / $152.49	Professional		$152.49	$152.49	$152.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.01 / $940.89 / $1,110.74	Facility		$884.01	$940.89	$1,110.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $111.08 / $166.59	Professional		$94.42	$111.08	$166.59
United Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $139.94 / $243.01	Professional		$103.62	$139.94	$243.01