Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.52 / $241.56 / $1,105.39	Facility		$150.52	$241.56	$1,105.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $150.52 / $183.59	Professional		$119.14	$150.52	$183.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $425.83 / $885.54	Facility		$188.90	$425.83	$885.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $205.39 / $404.29	Professional		$114.06	$205.39	$404.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $202.91 / $280.20	Professional		$135.28	$202.91	$280.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.28 / $8,702.00 / $13,785.00	Facility		$135.28	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $135.28 / $135.28	Professional		$135.28	$135.28	$135.28
United Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $173.93 / $231.90	Facility		$106.29	$173.93	$231.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $197.48	Professional		$81.17	$115.95	$197.48