Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $524.81 / $954.99	Facility		$144.54	$524.81	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $251.19	Professional		$102.33	$134.90	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $302.00	Facility		$128.82	$128.82	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $338.84	Professional		$104.71	$190.55	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $181.97	Professional		$154.88	$173.78	$181.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $758.58 / $1,148.15	Facility		$478.63	$758.58	$1,148.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $302.00	Professional		$112.20	$154.88	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $416.87 / $707.95	Facility		$331.13	$416.87	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $281.84	Professional		$112.20	$165.96	$281.84