Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $1,148.15	Facility		$208.93	$269.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $331.13	Professional		$109.65	$162.18	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $933.25	Facility		$234.42	$446.68	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $363.08	Professional		$114.82	$190.55	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $380.19	Professional		$141.25	$213.80	$380.19
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 $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $204.17 / $416.87	Facility		$95.50	$204.17	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $213.80	Professional		$81.28	$120.23	$213.80