Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $287.99 / $1,208.35	Facility		$78.28	$287.99	$1,208.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $90.59 / $228.02	Professional		$75.11	$90.59	$228.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.17 / $627.91 / $1,306.10	Facility		$199.17	$627.91	$1,306.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $79.09 / $327.51	Professional		$65.50	$79.09	$327.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $142.52 / $171.02	Professional		$114.01	$142.52	$171.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.52 / $8,702.00 / $13,785.00	Facility		$199.52	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $199.52 / $199.52	Professional		$91.85	$199.52	$199.52
United Facility/Professional Facility Modifier Low / Median / High Price $156.77 / $156.77 / $156.77	Facility		$156.77	$156.77	$156.77
United Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $149.88 / $199.52	Professional		$99.76	$149.88	$199.52