Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $133.15 / $602.60	Facility		$104.67	$133.15	$602.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $133.08 / $165.99	Professional		$92.81	$133.08	$165.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $97.76 / $352.49	Facility		$97.76	$97.76	$352.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $179.31 / $312.54	Professional		$89.35	$179.31	$312.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.36 / $158.36	Professional		$134.90	$158.36	$158.36
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 $55.09 / $102.56 / $178.91	Professional		$55.09	$102.56	$178.91
United Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $152.25 / $253.31	Professional		$105.06	$152.25	$253.31