Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $371.54 / $1,621.81	Facility		$194.98	$371.54	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $338.84	Professional		$77.62	$213.80	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $630.96 / $1,318.26	Facility		$275.42	$630.96	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $407.38	Professional		$67.61	$85.11	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $169.82	Professional		$114.82	$134.90	$169.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $11,481.54 / $25,118.86	Facility		$134.90	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $251.19	Professional		$91.20	$93.33	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $281.84 / $588.84	Facility		$128.82	$281.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $199.53	Professional		$85.11	$147.91	$199.53