Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $249.26 / $999.91	Facility		$154.55	$249.26	$999.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $154.55 / $166.07	Professional		$104.89	$154.55	$166.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.88 / $385.41 / $801.04	Facility		$170.88	$385.41	$801.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $181.90 / $358.23	Professional		$103.12	$181.90	$358.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $183.55 / $253.47	Professional		$122.37	$183.55	$253.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $13,785.00 / $13,785.00	Facility		$122.37	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.37 / $122.37	Professional		$122.37	$122.37	$122.37
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $188.79	Professional		$73.42	$104.89	$188.79