Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.54 / $261.35 / $851.24	Facility		$104.54	$261.35	$851.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $120.96 / $161.58	Professional		$100.30	$120.96	$161.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $365.20 / $758.88	Facility		$161.88	$365.20	$758.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $118.95 / $237.99	Professional		$84.49	$118.95	$237.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $97.71 / $132.49	Professional		$76.18	$97.71	$132.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $13,785.00 / $13,785.00	Facility		$115.93	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $115.93 / $124.16	Professional		$115.93	$115.93	$124.16
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $99.37 / $178.86	Professional		$64.12	$99.37	$178.86