Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $478.63	Facility		$208.93	$331.13	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $131.83	Professional		$56.23	$67.61	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $323.59	Facility		$151.36	$151.36	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $154.88	Professional		$54.95	$89.13	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,951.21 / $10,471.29	Facility		$537.03	$2,951.21	$10,471.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $151.36	Professional		$64.57	$77.62	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $158.49	Professional		$61.66	$91.20	$158.49