Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $199.53 / $741.31	Facility		$154.88	$199.53	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $199.53	Professional		$81.28	$102.33	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $269.15 / $562.34	Facility		$141.25	$269.15	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $269.15	Professional		$81.28	$131.83	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $234.42	Professional		$85.11	$128.82	$234.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $10,715.19 / $25,118.86	Facility		$123.03	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $123.03	Professional		$97.72	$97.72	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $123.03 / $251.19	Facility		$57.54	$123.03	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $151.36	Professional		$51.29	$74.13	$151.36