Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $645.65	Facility		$131.83	$199.53	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $186.21	Professional		$75.86	$91.20	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $229.09 / $467.74	Facility		$100.00	$229.09	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $158.49	Professional		$67.61	$91.20	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $117.49	Professional		$40.74	$51.29	$117.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $11,481.54 / $25,703.96	Facility		$102.33	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $114.82	Professional		$91.20	$93.33	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $102.33 / $213.80	Facility		$47.86	$102.33	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $151.36	Professional		$40.74	$61.66	$151.36