Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.30 / $176.30 / $697.62	Facility		$176.30	$176.30	$697.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $177.11 / $223.22	Professional		$138.66	$177.11	$223.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.86 / $576.44 / $796.87	Facility		$370.86	$576.44	$796.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.85 / $242.31 / $393.58	Professional		$154.85	$242.31	$393.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $266.20 / $266.20	Professional		$266.20	$266.20	$266.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.89 / $976.93 / $1,733.88	Facility		$940.89	$976.93	$1,733.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $205.65 / $282.67	Professional		$174.80	$205.65	$282.67
United Facility/Professional Facility Modifier Low / Median / High Price $552.20 / $552.20 / $552.20	Facility		$552.20	$552.20	$552.20
United Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $239.46 / $417.68	Professional		$175.13	$239.46	$417.68