Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $61.26 / $319.89	Facility		$61.26	$61.26	$319.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $66.00 / $78.88	Professional		$49.23	$66.00	$78.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.67 / $129.21 / $426.38	Facility		$118.67	$129.21	$426.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $89.27 / $150.13	Professional		$56.12	$89.27	$150.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $643.74 / $643.74 / $643.74	Professional		$643.74	$643.74	$643.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.08 / $1,184.18 / $1,308.65	Facility		$1,056.08	$1,184.18	$1,308.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $100.08 / $117.26	Professional		$85.07	$100.08	$117.26
United Facility/Professional Facility Modifier Low / Median / High Price $707.97 / $707.97 / $707.97	Facility		$707.97	$707.97	$707.97
United Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $134.44 / $357.70	Professional		$89.20	$134.44	$357.70