Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $234.42 / $1,047.13	Facility		$223.87	$234.42	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $229.09	Professional		$104.71	$144.54	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $794.33	Facility		$199.53	$389.05	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $316.23	Professional		$97.72	$165.96	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $331.13	Professional		$123.03	$181.97	$331.13
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 $138.04 / $138.04 / $173.78	Professional		$138.04	$138.04	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $354.81	Facility		$81.28	$173.78	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $181.97	Professional		$69.18	$104.71	$181.97