Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.23 / $243.53 / $1,232.07	Facility		$104.23	$243.53	$1,232.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $146.99 / $188.09	Professional		$104.24	$146.99	$188.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.54 / $436.65 / $907.26	Facility		$193.54	$436.65	$907.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $230.75 / $491.12	Professional		$130.99	$230.75	$491.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $207.89 / $287.08	Professional		$138.59	$207.89	$287.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $13,785.00 / $13,785.00	Facility		$138.59	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $138.59 / $138.59	Professional		$138.59	$138.59	$138.59
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $118.79 / $270.11	Professional		$83.16	$118.79	$270.11