Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $295.82 / $1,410.09	Facility		$41.65	$295.82	$1,410.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $134.49 / $209.54	Professional		$41.65	$134.49	$209.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.98 / $543.47 / $1,129.64	Facility		$240.98	$543.47	$1,129.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $256.83 / $505.92	Professional		$145.49	$256.83	$505.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $258.85 / $357.45	Professional		$172.56	$258.85	$357.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $246.52 / $13,785.00	Facility		$172.56	$246.52	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $172.56 / $172.56	Professional		$172.56	$172.56	$172.56
United Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $135.59 / $247.00	Facility		$135.59	$135.59	$247.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $147.91 / $251.45	Professional		$95.45	$147.91	$251.45