Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $575.44 / $831.76	Facility		$114.82	$575.44	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $138.04	Professional		$85.11	$104.71	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $234.42	Facility		$102.33	$102.33	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $269.15	Professional		$83.18	$154.88	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $426.58	Professional		$380.19	$380.19	$426.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $724.44 / $1,148.15	Facility		$478.63	$724.44	$1,148.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $489.78	Professional		$53.70	$83.18	$489.78
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 $95.50 / $169.82 / $338.84	Professional		$95.50	$169.82	$338.84