Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $602.56 / $891.25	Facility		$323.59	$602.56	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $245.47	Professional		$91.20	$123.03	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $213.80	Facility		$97.72	$97.72	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $309.03	Professional		$95.50	$177.83	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $162.18	Professional		$138.04	$154.88	$162.18
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 $100.00 / $138.04 / $281.84	Professional		$100.00	$138.04	$281.84
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 $102.33 / $151.36 / $257.04	Professional		$102.33	$151.36	$257.04