Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.88 / $387.29 / $1,157.73	Facility		$242.88	$387.29	$1,157.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $232.76 / $387.29	Professional		$115.03	$232.76	$387.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.85 / $446.04 / $927.47	Facility		$197.85	$446.04	$927.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $202.09 / $390.40	Professional		$112.42	$202.09	$390.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $212.52 / $293.48	Professional		$141.68	$212.52	$293.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $8,702.00 / $13,785.00	Facility		$141.68	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $141.68 / $141.68	Professional		$141.68	$141.68	$141.68
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $206.45	Professional		$85.01	$121.44	$206.45