Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $114.58 / $570.04	Facility		$114.58	$114.58	$570.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $108.67 / $138.53	Professional		$86.12	$108.67	$138.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.31 / $121.22 / $439.22	Facility		$102.31	$121.22	$439.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $154.18 / $268.89	Professional		$79.18	$154.18	$268.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $296.30 / $375.45	Professional		$296.30	$296.30	$375.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.74 / $544.91 / $1,039.20	Facility		$439.74	$544.91	$1,039.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $79.25 / $314.82	Professional		$53.77	$79.25	$314.82
United Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $176.82 / $329.32	Professional		$103.99	$176.82	$329.32