Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $165.83 / $522.58	Facility		$45.45	$165.83	$522.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $76.78 / $94.41	Professional		$45.45	$76.78	$94.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.28 / $237.07 / $489.60	Facility		$92.28	$237.07	$489.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $103.80 / $113.29	Professional		$103.80	$103.80	$113.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $118.01 / $118.01	Professional		$118.01	$118.01	$118.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $13,785.00 / $13,785.00	Facility		$94.41	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $82.14 / $82.14	Professional		$82.14	$82.14	$82.14
United Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $56.65 / $93.09	Professional		$30.33	$56.65	$93.09