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 / $234.42	Professional		$104.71	$144.54	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $812.83	Facility		$199.53	$389.05	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $316.23	Professional		$100.00	$169.82	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $331.13	Professional		$123.03	$186.21	$331.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,118.86	Facility		$134.90	$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 $83.18 / $173.78 / $363.08	Facility		$83.18	$173.78	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $186.21	Professional		$70.79	$104.71	$186.21