Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $346.16 / $972.42	Facility		$79.28	$346.16	$972.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $90.30 / $149.84	Professional		$79.28	$90.30	$149.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $364.48 / $758.42	Facility		$161.79	$364.48	$758.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $172.58 / $339.96	Professional		$97.70	$172.58	$339.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $173.79 / $239.99	Professional		$115.86	$173.79	$239.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $8,702.00 / $13,785.00	Facility		$115.86	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $115.86	Professional		$115.86	$115.86	$115.86
United Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $148.96 / $198.61	Facility		$148.96	$148.96	$198.61
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $168.82	Professional		$69.51	$99.31	$168.82