Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $1,548.82	Facility		$275.42	$691.83	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $354.81	Professional		$85.11	$173.78	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $467.74 / $977.24	Facility		$245.47	$467.74	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $331.13	Professional		$123.03	$229.09	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $407.38	Professional		$151.36	$223.87	$407.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $213.80	Professional		$169.82	$169.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $213.80 / $436.52	Facility		$100.00	$213.80	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $229.09	Professional		$85.11	$128.82	$229.09