Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $256.32 / $1,075.90	Facility		$102.14	$256.32	$1,075.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $118.15 / $167.46	Professional		$97.97	$118.15	$167.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $461.19 / $959.18	Facility		$180.12	$461.19	$959.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $100.89 / $300.45	Professional		$85.71	$100.89	$300.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $123.50 / $166.65	Professional		$96.29	$123.50	$166.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.52 / $13,785.00 / $13,785.00	Facility		$146.52	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $146.52 / $146.52	Professional		$119.85	$146.52	$146.52
United Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $122.30 / $195.50	Professional		$81.04	$122.30	$195.50