Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $562.34	Facility		$117.49	$177.83	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $165.96	Professional		$67.61	$81.28	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $199.53 / $416.87	Facility		$89.13	$199.53	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $138.04	Professional		$47.86	$77.62	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $102.33	Professional		$36.31	$45.71	$102.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $10,715.19 / $25,703.96	Facility		$91.20	$10,715.19	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $102.33	Professional		$79.43	$83.18	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $186.21	Facility		$42.66	$91.20	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $131.83	Professional		$36.31	$54.95	$131.83