Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $242.80 / $717.86	Facility		$97.12	$242.80	$717.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $97.12 / $149.35	Professional		$90.05	$97.12	$149.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $276.43 / $575.08	Facility		$122.68	$276.43	$575.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $95.57 / $196.09	Professional		$66.52	$95.57	$196.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $69.03 / $100.40	Professional		$50.20	$69.03	$100.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.85 / $13,785.00 / $13,785.00	Facility		$87.85	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $87.85 / $115.34	Professional		$87.85	$87.85	$115.34
United Facility/Professional Facility Modifier Low / Median / High Price $69.03 / $69.03 / $69.03	Facility		$69.03	$69.03	$69.03
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $75.30 / $142.22	Professional		$52.71	$75.30	$142.22