Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.87 / $144.87 / $655.89	Facility		$144.87	$144.87	$655.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $141.11 / $176.52	Professional		$102.89	$141.11	$176.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $129.77 / $612.42	Facility		$128.34	$129.77	$612.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $187.33 / $336.31	Professional		$99.56	$187.33	$336.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $176.79 / $176.79	Professional		$150.30	$176.79	$176.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.26 / $544.91 / $1,039.20	Facility		$454.26	$544.91	$1,039.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $114.63 / $187.26	Professional		$75.73	$114.63	$187.26
United Facility/Professional Facility Modifier Low / Median / High Price $356.10 / $356.10 / $356.10	Facility		$356.10	$356.10	$356.10
United Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $163.90 / $281.81	Professional		$121.91	$163.90	$281.81