Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $616.60 / $676.08	Facility		$295.12	$616.60	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $194.98	Professional		$79.43	$104.71	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $416.87	Facility		$204.17	$204.17	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $239.88	Professional		$87.10	$151.36	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,000.00 / $2,137.96	Facility		$173.78	$1,000.00	$2,137.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $194.98	Professional		$91.20	$107.15	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $933.25	Facility		$524.81	$616.60	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87