Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $275.42 / $1,288.25	Facility		$257.04	$275.42	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $257.04	Professional		$102.33	$162.18	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $457.09 / $954.99	Facility		$204.17	$457.09	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $302.00	Professional		$87.10	$100.00	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $165.96	Professional		$83.18	$104.71	$165.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,715.19 / $25,118.86	Facility		$134.90	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $186.21	Professional		$120.23	$120.23	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $208.93 / $426.58	Facility		$97.72	$208.93	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $199.53	Professional		$83.18	$125.89	$199.53