Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $312.41 / $1,227.63	Facility		$86.58	$312.41	$1,227.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $119.41 / $182.43	Professional		$86.58	$119.41	$182.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.79 / $472.74 / $983.46	Facility		$209.79	$472.74	$983.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $228.12 / $449.62	Professional		$126.59	$228.12	$449.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $225.35 / $311.20	Professional		$150.22	$225.35	$311.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $8,702.00 / $13,785.00	Facility		$150.22	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $150.22 / $150.22	Professional		$150.22	$150.22	$150.22
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $128.77 / $219.43	Professional		$90.14	$128.77	$219.43