Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $178.15 / $868.86	Facility		$86.57	$178.15	$868.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $107.91 / $137.60	Professional		$86.58	$107.91	$137.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.58 / $319.01 / $663.71	Facility		$141.58	$319.01	$663.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $168.90 / $359.37	Professional		$95.77	$168.90	$359.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $152.08 / $210.02	Professional		$101.39	$152.08	$210.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $8,702.00 / $13,785.00	Facility		$101.39	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $101.39 / $101.39	Professional		$101.39	$101.39	$101.39
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $86.90 / $197.59	Professional		$60.83	$86.90	$197.59