Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.11 / $164.11 / $859.54	Facility		$164.11	$164.11	$859.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $179.01 / $228.75	Professional		$135.31	$179.01	$228.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.20 / $632.71 / $915.50	Facility		$397.20	$632.71	$915.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $231.45 / $391.40	Professional		$149.94	$231.45	$391.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.93 / $257.93 / $257.93	Professional		$257.93	$257.93	$257.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.18 / $1,308.65 / $2,495.69	Facility		$1,184.18	$1,308.65	$2,495.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $200.85 / $285.91	Professional		$170.72	$200.85	$285.91
United Facility/Professional Facility Modifier Low / Median / High Price $676.03 / $783.04 / $1,223.50	Facility		$676.03	$783.04	$1,223.50
United Facility/Professional Professional Modifier Low / Median / High Price $149.54 / $226.68 / $408.76	Professional		$149.54	$226.68	$408.76