Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.74 / $343.45 / $1,096.35	Facility		$254.74	$343.45	$1,096.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $245.30 / $343.45	Professional		$91.52	$245.30	$343.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.51 / $469.85 / $977.42	Facility		$208.51	$469.85	$977.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $191.74 / $310.70	Professional		$89.38	$191.74	$310.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $223.97 / $309.29	Professional		$149.31	$223.97	$309.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.31 / $8,702.00 / $13,785.00	Facility		$149.31	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $149.31 / $149.31	Professional		$149.31	$149.31	$149.31
United Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $117.32 / $117.32	Facility		$117.32	$117.32	$117.32
United Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $127.98 / $217.57	Professional		$71.53	$127.98	$217.57