Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $1,122.02	Facility		$234.42	$245.47	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $245.47	Professional		$112.20	$151.36	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $851.14	Facility		$213.80	$407.38	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $331.13	Professional		$104.71	$177.83	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $354.81	Professional		$128.82	$194.98	$354.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $10,471.29 / $25,118.86	Facility		$151.36	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $186.21	Professional		$147.91	$147.91	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $186.21 / $380.19	Facility		$87.10	$186.21	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $194.98	Professional		$74.13	$112.20	$194.98