Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $435.00 / $1,863.99	Facility		$66.48	$435.00	$1,863.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $140.97 / $281.35	Professional		$66.48	$140.97	$281.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.55 / $729.68 / $1,516.76	Facility		$323.55	$729.68	$1,516.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.78 / $299.44 / $530.77	Professional		$152.78	$299.44	$530.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $347.55 / $479.95	Professional		$231.70	$347.55	$479.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.70 / $13,785.00 / $13,785.00	Facility		$231.70	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $231.70 / $231.70	Professional		$231.70	$231.70	$231.70
United Facility/Professional Facility Modifier Low / Median / High Price $182.05 / $297.89 / $397.20	Facility		$182.05	$297.89	$397.20
United Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $193.39 / $265.54	Professional		$128.15	$193.39	$265.54